DR. STEPHEN MARK SUNDBY PH.D., LPC, CDC I NPI 1609907393

Counselor in Cordova, AK

NPI 1609907393 Individual Male Counselor

About STEPHEN SUNDBY

Stephen Sundby is a provider established in Cordova, Alaska and his medical specialization is counselor. The NPI number of Stephen Sundby is 1609907393 and was assigned on March 2007. The practitioner's primary taxonomy code is 101Y00000X with license number 245 (AK). The provider is registered as an individual and his NPI record was last updated 11 years ago.

Stephen Sundby is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1609907393

Provider NameDR. STEPHEN MARK SUNDBY PH.D., LPC, CDC I
Provider Location Address602 CHASE AVE CORDOVA, AK 99574
Provider Mailing AddressPO BOX 874756 WASILLA, AK 99687
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date03-07-2007
Last Update Date07-01-2010


Primary Taxonomy

Taxonomy Code101Y00000X
ClassificationCounselor
TypeBehavioral Health & Social Service Providers
License No.245
License StateAK
Taxonomy DescriptionA provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Business Address

DR. STEPHEN MARK SUNDBY PH.D., LPC, CDC I
602 CHASE AVE
CORDOVA, AK
ZIP 99574
Phone: (907) 424-8300
Fax: (907) 424-8645

Get Directions


Mailing Address

DR. STEPHEN MARK SUNDBY PH.D., LPC, CDC I
PO BOX 874756
WASILLA, AK
ZIP 99687
Phone: (907) 357-5188



Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1101Y00000XBehavioral Health & Social Service ProvidersCounselor16231TXNo

Taxonomy Description: a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Other Providers at the same location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1225062920DR. ALYCE L GARRITY MD
Individual
Emergency Medicine602 CHASE AVE
CORDOVA, AK 99574
(907) 424-8000
1700045499 STEPHENIE JAMES SAUNDERS
Individual
Counselor (Professional)602 CHASE AVE
CORDOVA, AK 99574
(907) 424-8300
1013077080CORDOVA COMMUNITY HOSPITAL
Organization
Pharmacy (Long Term Care Pharmacy)602 CHASE AVE
CORDOVA, AK 99574
(907) 424-8000
1861809238 HEIDI VOSS PHARMD
Individual
Pharmacist602 CHASE AVE
CORDOVA, AK 99574
(907) 424-8254
1215035787CORDOVA COMMUNITY MEDICAL CENTER
Organization
General Acute Care Hospital (Critical Access)602 CHASE AVE
CORDOVA, AK 99574
(907) 424-8000
1225266588CORDOVA COMMUNITY MEDICAL CENTER
Organization
Family Medicine602 CHASE AVE
CORDOVA, AK 99574
(907) 424-8000
1609395128CORDOVA COMMUNITY MEDICAL CENTER
Organization
Pharmacy (Community/Retail Pharmacy)602 CHASE AVE
CORDOVA, AK 99574
(907) 424-8017

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.