DR. SUNDA FRIEDMAN TEBOCKHORST (NPI# 1730360983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730360983 |
| Entity Type | Individual |
| Full Name | DR. SUNDA FRIEDMAN TEBOCKHORST |
| Credential | PH.D. |
| Practice Address |
6680 Gunpark Dr Suite 200 Boulder CO 80301-3349 |
| Practice Telephone | 7203878458 |
| Practice Fax Number | 7202080666 |
| Mailing Telephone | 7203878458 |
| Mailing Fax Number | 7202080666 |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2014-09-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 4820 | CO | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
4820 | CO | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
4820 | CO | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 4121 | CO | Behavioral Health & Social Service Providers |
| Street Address |
6680 GUNPARK DR SUITE 200 |
| City | BOULDER |
| State | CO |
| Zip Code | 80301-3349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306395751 | Melissa Horne | Psychologist | 6680 Gunpark Dr, Suite 200, Boulder, CO 80301-3349 | 2016-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031454 | Jonathan William Garson | Social Worker | 1790 30th St., Boulder, CO 80301 | 2020-10-20 |
| 1164048161 | Crossroads Medical Center | Family Medicine | 2760 29th St., Suite 28, Boulder, CO 80301 | 2020-06-25 |
| 1316585045 | Karissa Marlene Smith | Registered Nurse | 4770 Pearl Street, Suite A, Boulder, CO 80301 | 2019-12-12 |
| 1184273864 | National Doula Network | Doula | 5918 Gunbarrel Ave Apt E, Boulder, CO 80301 | 2019-09-05 |
| 1861047086 | Samuel Shay | Chiropractor | 1750 30th St, Ste 1, #226, Boulder, CO 80301 | 2019-08-05 |
| 1124504808 | Be Free Live Now LLC | Social Worker | 2945 Center Creen Court, Suite G211, Boulder, CO 80301 | 2018-07-16 |
| 1720596703 | Janis Dochterman | Counselor | 5378 Sterling Drive, Studio #3, Boulder, CO 80301 | 2018-01-12 |
| 1033628631 | Whitney Shea | Physical Therapy Assistant | 3020 Carbon Place, #330, Physical Therapy of Boulder, Boulder, CO 80301 | 2017-09-26 |
| 1538688908 | Kyle N. Daniel Dds PC | Dentist | 2830 Valmont Rd, Boulder, CO 80301 | 2017-09-16 |
| 1497205231 | Jenna Orosco | Counselor | 2945 Center Green Ct. Suite H, Suite H, Boulder, CO 80301 | 2016-10-05 |
| Find all providers in zip 80301 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396353231 | Daniel Raedel | Psychologist | 2010 Willard Loop Dr, N352, Boulder, CO 80305-2448 | 2020-07-16 |
| 1447748330 | Cynthia Teener Johnson | Psychologist | 3405 Penrose Pl Ste 203, Boulder, CO 80301-1820 | 2018-04-25 |
| 1285142950 | Julia Beth Colwell | Psychologist | 1637 28th St, Boulder, CO 80301-1001 | 2018-01-16 |
| 1932618782 | Michele Adrienne Packard | Psychologist | 4410 Arapahoe Suite 140, Boulder, CO 80303 | 2017-09-25 |
| 1346775384 | Lauren Goldsmith Phd LLC | Psychologist | 1335 Norwood Ave, Boulder, CO 80304-1209 | 2017-04-27 |
| 1952840639 | Shana Parker | Psychologist | 936 Rain Lilly Ln, Boulder, CO 80304-0791 | 2017-02-15 |
| 1669856696 | Kathryn Blau | Psychologist | Wardenburg Health Services 119 Ucb, Boulder, CO 80309 | 2015-07-20 |
| 1467879908 | Vyga Kaufmann | Psychologist | 2355 Canyon Blvd, Suite 100, Boulder, CO 80302-5621 | 2014-03-22 |
| 1003241480 | Claudia Hartke | Psychologist | 3005 47th St Ste F4, Boulder, CO 80301-5550 | 2013-09-04 |
| 1730415910 | Douglas P Jowdy | Psychologist | 1035 Pearl Street, Boulder, CO 80302 | 2009-10-23 |
| Find all providers in BOULDER | ||||
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| 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.