DR. MICHELLE GUNDERSON PSYD
NPI 1720623648
Psychologist - Clinical Child & Adolescent in Hollywood, FL

Active since November 14, 2019PECOS Enrolled
1150 N 35TH AVE STE 525, HOLLYWOOD, FL 33021(954) 265-6968 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 20, 2026, Nov 14, 2019 (2 updates tracked since 2019).

About Dr. Michelle Gunderson Psyd NPPES

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

DR. MICHELLE GUNDERSON PSYD (NPI 1720623648) is an individual clinical child & adolescent provider in Hollywood, Florida, licensed in Florida (PY10630) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720623648
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameDR. MICHELLE GUNDERSONCredential: PSYD
Location Address1150 N 35TH AVE STE 525Hollywood, FL 33021-5431
Mailing Address1150 N 35th Ave Ste 525Hollywood, FL 33021-5431 · (954) 265-6968
Sole ProprietorNo
Enumeration DateNovember 14, 2019
Last NPPES UpdateMay 20, 20262 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
NPI 1720623648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License Licensed in FL · PY10630
Definition

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.

1150 N 35TH AVE STE 525, Hollywood, FL 33021

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Michelle Gunderson Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
1150 N 35TH AVE STE 525
HOLLYWOOD, FL 33021
Psychologist
1150 N 35TH AVE STE 525
HOLLYWOOD, FL 33021
Clinical Neuropsychologist
1150 N 35TH AVE STE 525
HOLLYWOOD, FL 33021
Psychologist
1150 N 35TH AVE STE 525
HOLLYWOOD, FL 33021
Psychologist
1150 N 35TH AVE STE 525
HOLLYWOOD, FL 33021
Social Worker (Clinical)
1150 N 35TH AVE STE 525
HOLLYWOOD, FL 33021
Clinical Neuropsychologist
1150 N 35TH AVE STE 525
HOLLYWOOD, FL 33021

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 Michelle Gunderson's NPI number?

The NPI number for Michelle Gunderson is 1720623648. It was assigned to this individual provider in the NPPES registry on November 14, 2019.

Where is Michelle Gunderson located?

Michelle Gunderson practices at 1150 N 35th Ave Ste 525, Hollywood, FL 33021. The listed phone number is (954) 265-6968.

What is Michelle Gunderson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Michelle Gunderson enrolled in Medicare?

Yes. Michelle Gunderson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michelle Gunderson was last updated on May 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.