CMS-1500 Box 24J / 33a • NPI
1013136191
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
1835P1300X
Licensed & Credentialed Pharmacist, Psychiatric
Box 32 Service Location & ZIP+4
750 WASHINGTON ST, THE HEALTH INSTITUTE, BOX 345, BOSTON, MA, 02111-1526
✓ 9-Digit EDI 837 ZIP+4 (02111-1526)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1013136191 (KATHLEEN BUNGAY, PharmD, MS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1013136191 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | KATHLEEN BUNGAY, PharmD, MS |
| Plain-English Specialty | Licensed & Credentialed Pharmacist, Psychiatric NUCC Code: 1835P1300X (Pharmacist, Psychiatric) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 750 WASHINGTON ST, THE HEALTH INSTITUTE, BOX 345, BOSTON, MA, 02111-1526 |
| Practice Telephone / Fax | Tel: (617) 636-3292 | Fax: (617) 636-8351 |
| Administrative Mailing Address | 10 PILGRIM RD, MARBLEHEAD, MA, 01945-1711 |
| Enumeration & Last Sync | Enumerated: 2007-04-25 | CMS Record Updated: 2007-07-08 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (1835P1300X)
What Does Taxonomy Code 1835P1300X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1835P1300X translates to:
"Licensed & Credentialed Pharmacist, Psychiatric"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (KATHLEEN BUNGAY, PharmD, MS)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
1835P1300X — Pharmacist, PsychiatricPlain English: Licensed & Credentialed Pharmacist, Psychiatric | State: MA | License: 23710 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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