JEFFREY SUNDBERG (NPI# 1013222678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013222678 |
| Entity Type | Individual |
| Full Name | JEFFREY SUNDBERG |
| Credential | LMHC |
| Practice Address |
915 Middle River Dr Suite 317 Fort Lauderdale FL 33304-3544 |
| Practice Telephone | 9548126965 |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2010-08-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | MH 10368 | FL | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
MH 10368 | FL | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH 10368 | FL | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
MH 10368 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518072735 | Jeffrey Sundberg | Dentist | 1508 Doctors Ct, Watertown, WI 53094-4102 | 2006-08-20 |
| 1144236118 | Jeffrey Byron Sundberg | Social Worker | 610 E State St, A, Rockford, IL 61104-1038 | 2006-07-31 |
| Street Address |
915 MIDDLE RIVER DR SUITE 317 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33304-3544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801346010 | Map To Health LLC | Psychologist | 915 Middle River Dr, Fort Lauderdale, FL 33304-3544 | 2016-10-12 |
| 1891143772 | Viktoriya Abramova | Counselor | 915 Middle River Dr, Suite 318, Fort Lauderdale, FL 33304-3544 | 2016-06-01 |
| 1649628538 | Craig Marker | Psychologist | 915 Middle River Dr, Suite 318, Fort Lauderdale, FL 33304-3544 | 2016-06-01 |
| 1275989691 | Ana Pires De Sa E Silva | Psychologist | 915 Middle River Dr, Suite 408, Fort Lauderdale, FL 33304-3544 | 2016-05-05 |
| 1881062420 | Y Medical Group, LLC | Psychiatry & Neurology | 915 Middle River Dr, Suite 114, Fort Lauderdale, FL 33304-3544 | 2015-09-14 |
| 1811305618 | Jamie Blosser Morris | Counselor | 915 Middle River Dr, Suite 307, Fort Lauderdale, FL 33304-3544 | 2014-07-24 |
| 1659788701 | Nicole Saltzburg | Psychologist | 915 Middle River Dr, Suite 307, Fort Lauderdale, FL 33304-3544 | 2014-07-21 |
| 1194150581 | Olga Nazarov | Physician Assistant | 915 Middle River Dr, Fort Lauderdale, FL 33304 | 2013-09-05 |
| 1225471279 | Gina Joy-reyes | Psychologist | 915 Middle River Dr, Suite 320a, Fort Lauderdale, FL 33304-3544 | 2013-04-09 |
| 1760721799 | Gina Joyreyes, Psy.d., Pllc | Psychologist | 915 Middle River Dr, Suite 320a, Fort Lauderdale, FL 33304-3544 | 2013-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972128379 | Nurse Practitioner On Demand LLC | Clinic/Center | 1491 N Federal Hwy, Fort Lauderdale, FL 33304 | 2020-06-11 |
| 1053977207 | Hubert Christopher Dauphin | Counselor | 1527 Ne 4 Ave, Ft Lauderdale, FL 33304 | 2019-05-14 |
| 1073176970 | Giant Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 1975 E. Sunrise Blvd, Ste 503, Fort Lauderdale, FL 33304 | 2019-04-16 |
| 1790283000 | Genoa Healthcare, LLC | Pharmacy | 919 Ne 13th St Ste 244, Fort Lauderdale, FL 33304 | 2018-02-01 |
| 1063939890 | Suibel Boeras | Dentist | 3000 E Sunrise Blvd, Apt 5d, Fort Lauderdale, FL 33304 | 2017-08-23 |
| 1871023671 | Zahily Quinones Rivero | Technician, Other | 916 N Victoria Park Road, Fort Lauderdale, FL 33304 | 2017-06-14 |
| 1033652847 | A Healthier You Wellness Center, Inc. | Reflexologist | 1960 Ne 47th Street, Unit 102, Fort Lauderdale, FL 33304 | 2016-11-28 |
| 1871975995 | Sahyma Pampin | Physician Assistant | 2414 E. Sunrise Blvd., Ste. 2140a, Ft. Lauderdale, FL 33304 | 2015-06-25 |
| 1881090660 | Tara Zuckerman | Psychologist | 1501 Ne 4th Avenue, Fort Lauderdale, FL 33304 | 2014-11-06 |
| 1053721027 | Felice D. Fusca | Social Worker | 1208 Ne 17 Av, Fort Lauderdale, FL 33304 | 2014-04-30 |
| Find all providers in zip 33304 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134066 | Hyacinth Anne Morgan | Counselor | 1001 W Cypress Creek Rd Ste 302s, Fort Lauderdale, FL 33309-1950 | 2020-11-06 |
| 1871192203 | Kamari L Pasley | Counselor | 1900 Nw 16th Ct, Fort Lauderdale, FL 33311-4639 | 2020-10-17 |
| 1134746829 | Chinyere Tunsill | Counselor | 1000 Long Island Ave, Fort Lauderdale, FL 33312-2674 | 2020-06-29 |
| 1750906848 | Darcy Holm | Counselor | 3000 N Federal Hwy Ste 5, Fort Lauderdale, FL 33306-1416 | 2020-06-15 |
| 1356977078 | Herz Counseling Group, LLC | Counselor | 4390 N Federal Hwy Ste 208, Fort Lauderdale, FL 33308-5200 | 2020-03-13 |
| 1558997346 | Paulina Scaturro | Counselor | 4413 Ne 21st Ave, Fort Lauderdale, FL 33308-5603 | 2020-03-12 |
| 1144855925 | Victoria Baca | Counselor | 501 Ne 5th Ter Apt 314, Fort Lauderdale, FL 33301-0014 | 2020-03-11 |
| 1184254476 | Shaira A. Shah | Counselor | 2699 Stirling Rd Ste C307, Fort Lauderdale, FL 33312-6564 | 2020-01-25 |
| 1194364893 | Jennifer Tiech | Counselor | 2901 W Cypress Creek Rd Ste 123124, Fort Lauderdale, FL 33309-1730 | 2019-12-27 |
| 1205475167 | Tara Yombor | Counselor | 545 Sw 18th Ave Unit 34, Fort Lauderdale, FL 33312-7704 | 2019-12-24 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33304 |
Please comment or provide details below to improve the information on JEFFREY SUNDBERG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.