DR. MICHELLE GUNDERSON PSYD
NPI 1720623648
Psychologist - Clinical Child & Adolescent in Hollywood, FL
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 and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Michelle Gunderson Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Michelle Gunderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hollywood, FL 33021
- Reassigned Medicare billing, Florida enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Michelle Gunderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Gunderson reassigns Medicare benefits to South Broward Hospital District (Hollywood, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michelle Gunderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michelle Gunderson accept?
Health plans from 22 Health, Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Michelle Gunderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Michelle Gunderson was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Dr. Michelle Gunderson, PSYD · NPI 1720623648
Clinical Child & Adolescent provider in Hollywood, Florida. Individual provider, active in the CMS NPPES registry since November 14, 2019.
## Identity
- **NPI:** 1720623648 (Entity type: Individual)
- **Enumerated:** November 14, 2019
- **Primary specialty:** Psychologist - Clinical Child & Adolescent · taxonomy 103TC2200X
- **State license:** PY10630 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1150 N 35TH AVE STE 525, Hollywood, FL 33021-5431
- **Phone:** (954) 265-6968
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** South Broward Hospital District (NPI 1013471614, Hollywood, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** May 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1720623648) · Data from the CMS NPPES public registry.