DR. ELLEN M SUNDBERG PH.D.
NPI 1194949602
Psychologist in Hattiesburg, MS

Active since April 13, 2007
312 S 25TH AVE, HATTIESBURG, MS 39401(601) 296-1295(601) 296-0119 Get Directions Write a Review

NPPES record last updated: November 26, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ellen M Sundberg Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ELLEN M SUNDBERG PH.D. (NPI 1194949602) is an individual psychologist in Hattiesburg, Mississippi, licensed in Mississippi (34 560) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1194949602
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. ELLEN M SUNDBERGCredential: PH.D.
Location Address312 S 25TH AVEHattiesburg, MS 39401-7301
Mailing AddressPo Box 17743Hattiesburg, MS 39404-7743 · (601) 296-1295 · Fax (601) 296-0119
Fax(601) 296-0119
Sole ProprietorYes
Enumeration DateApril 13, 2007
Last NPPES UpdateNovember 26, 2008
NPI 1194949602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MS · 34 560
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
312 S 25TH AVE, Hattiesburg, MS 39401

Other Identifiers 2

Medicare ID-Type Unspecified620000053MS
Medicaid0115948MS

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellen Sundberg's NPI number?

The NPI number for Ellen Sundberg is 1194949602. It was assigned to this individual provider in the NPPES registry on April 13, 2007.

Where is Ellen Sundberg located?

Ellen Sundberg practices at 312 S 25th Ave, Hattiesburg, MS 39401. The listed phone number is (601) 296-1295.

What is Ellen Sundberg's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Ellen Sundberg was last updated on November 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.