DR. MICHELLE GUNDERSON PSYD
NPI 1720623648
Psychologist - Clinical Child & Adolescent in Hollywood, FL
NPI Status: Active since November 14, 2019
Contact Information
1150 N 35TH AVE STE 525
HOLLYWOOD, FL
ZIP 33021
Phone: (954) 265-6968
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Individual
- Female
- Psychologist
- Clinical Child & Adolescent
- PECOS Enrolled
About MICHELLE GUNDERSON
This page provides the complete NPI Profile along with additional information for Michelle Gunderson, a provider established in Hollywood, Florida with a medical specialization in Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1720623648 assigned on November 2019. The practitioner's primary taxonomy code is 103TC2200X with license number PY10630 (FL). The provider is registered as an individual and her NPI record was last updated May 2026.
- NPI
- 1720623648
- Provider Name
- DR. MICHELLE GUNDERSON PSYD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1150 N 35TH AVE STE 525 HOLLYWOOD, FL 33021
- Location Phone
- (954) 265-6968
- Mailing Address
- 1150 N 35TH AVE STE 525 HOLLYWOOD, FL 33021
- Mailing Phone
- (954) 265-6968
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-14-2019
- Last Update Date
- 05-20-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical Child & Adolescent
- Taxonomy Code
- 103TC2200X
- Type
- Behavioral Health & Social Service Providers
- License No.
- PY10630
- License State
- FL
- Taxonomy Description
- A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Medicare Participation & PECOS Enrollment Status
Michelle Gunderson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1720623648, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720623648, enumerated as an "individual" on November 14, 2019.
The provider is located at 1150 N 35TH AVE STE 525 HOLLYWOOD, FL 33021 and the phone number is (954) 265-6968.
Psychologist with taxonomy code 103TC2200X and a focus in Clinical Child & Adolescent.
