SUSAN L. BUNNELL MD – NPI #1346216975
Psychiatry & Neurology

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

SUSAN BUNNELL is a psychiatry & neurologist located in IDAHO FALLS, ID. NPPES has assigned the NPI number 1346216975 to SUSAN BUNNELL on February 24, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2084P0804X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry

The NPI profile was previously updated about 14 years ago on Dec 16, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SUSAN BUNNELL below.

NPI Profile for
SUSAN L. BUNNELL

NPI Number
1346216975
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
SUSAN L. BUNNELL
Credentials
MD
Primary location
2280 E 25TH STREET
IDAHO FALLS, ID 83404
Phone: (208) 227-2295 Fax: (208) 227-2364
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for SUSAN BUNNELL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBSSD4994379
MEDICAIDID13426216975
MEDICAIDSD7101880
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084P0804X
- Psychiatry & Neurology / Child & Adolescent Psychiatry (Primary)
SD 5576

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.