PHILIP E SUNDSTROM M.A.,LIC PSYCHOLOGIS
NPI 1750594115
Psychologist in Fayetteville, WV

Active since May 08, 2007
209 W MAPLE AVE, FAYETTEVILLE, WV 25840(304) 574-2100(304) 574-2151 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Philip E Sundstrom M.a.,lic Psychologis NPPES

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

PHILIP E SUNDSTROM M.A.,LIC PSYCHOLOGIS (NPI 1750594115) is an individual psychologist in Fayetteville, West Virginia, licensed in West Virginia (257) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1750594115
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NamePHILIP E SUNDSTROMCredential: M.A.,LIC PSYCHOLOGIS
Location Address209 W MAPLE AVEFayetteville, WV 25840-1413
Mailing Address209 W Maple AveFayetteville, WV 25840-1413 · (304) 574-2100 · Fax (304) 574-2151
Fax(304) 574-2151
Sole ProprietorNo
Enumeration DateMay 8, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1750594115 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 WV · 257
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.
209 W MAPLE AVE, Fayetteville, WV 25840

Other Providers at the Same Location NPPES 17

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

Case Manager/Care Coordinator
209 W MAPLE AVE
FAYETTEVILLE, WV 25840
Peer Specialist
209 W MAPLE AVE
FAYETTEVILLE, WV 25840
Psychologist
209 W MAPLE AVE
FAYETTEVILLE, WV 25840
Psychologist
209 W MAPLE AVE
FAYETTEVILLE, WV 25840
Community Health Worker
209 W MAPLE AVE
FAYETTEVILLE, WV 25840
Counselor (Mental Health)
209 W MAPLE AVE
FAYETTEVILLE, WV 25840
Social Worker (Clinical)
209 W MAPLE AVE
FAYETTEVILLE, WV 25840
Counselor (Professional)
209 W MAPLE AVE
FAYETTEVILLE, WV 25840

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 Philip Sundstrom's NPI number?

The NPI number for Philip Sundstrom is 1750594115. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Where is Philip Sundstrom located?

Philip Sundstrom practices at 209 W Maple Ave, Fayetteville, WV 25840. The listed phone number is (304) 574-2100.

What is Philip Sundstrom'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 Philip Sundstrom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.