DR. STEPHEN MARK SUNDBY (NPI# 1609907393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609907393 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN MARK SUNDBY |
| Credential | PH.D., LPC, CDC I |
| Practice Address |
602 Chase Ave Cordova AK 99574 |
| Mailing Address |
Po Box 874756 Wasilla AK 99687-4756 |
| Practice Telephone | 9074248300 |
| Practice Fax Number | 9074248645 |
| Mailing Telephone | 9073575188 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2010-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 16231 | TX | Behavioral Health & Social Service Providers |
| Y | 101Y00000X | Counselor | 245 | AK | Behavioral Health & Social Service Providers |
| Street Address |
602 CHASE AVE |
| City | CORDOVA |
| State | AK |
| Zip Code | 99574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225062920 | Alyce L Garrity | Emergency Medicine | 602 Chase Ave, Cordova, AK 99574-0160 | 2006-07-10 |
| 1609395128 | Cordova Community Hospital | Pharmacy | 602 Chase Ave, Cordova, AK 99574 | 2017-09-15 |
| 1861809238 | Heidi Voss | Pharmacist | 602 Chase Ave, Cordova, AK 99574 | 2014-07-17 |
| 1225266588 | Cordova Community Hospital | Family Medicine | 602 Chase Ave, Cordova, AK 99574-0160 | 2009-06-25 |
| 1700045499 | Stephenie James Saunders | Counselor | 602 Chase Ave, Cordova, AK 99574-0160 | 2008-06-06 |
| 1013077080 | Cordova Community Hospital | Pharmacy | 602 Chase Ave, Cordova, AK 99574-0160 | 2006-12-11 |
| 1215035787 | Cordova Community Hospital | Ambulance | 602 Chase Ave, Cordova, AK 99574-0160 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355390 | Delia M. Reyes | Nurse Practitioner | 705 2nd St., Cordova, AK 99574 | 2020-10-29 |
| 1497376750 | Myaliesa Bingham | Massage Therapist | 622 1st St #201, Cordova, AK 99574 | 2020-04-28 |
| 1154951408 | Richard Donald Bingham | Chiropractor | 622 1st Street, 201, Cordova, AK 99574 | 2020-01-24 |
| 1497230353 | Acupuncture & Wellness of Cordova | Acupuncturist | 520 2nd Street, Cordova, AK 99574 | 2018-09-26 |
| 1659869295 | Joan Catherine Herschleb | Acupuncturist | 520 Second Street, Cordova, AK 99574 | 2018-04-30 |
| 1134534712 | Brian Iutzi | Family Medicine | Ilanka Clinic, 705 2nd Street, Cordova, AK 99574 | 2014-06-23 |
| 1356776165 | Susan E.c. Powell | Counselor | 705 Second Street, Cordova, AK 99574 | 2013-09-11 |
| 1962679878 | City of Cordova | Ambulance | 602 Railroad Ave, Cordova, AK 99574 | 2008-05-09 |
| 1568649374 | Laurie A Phillips | Case Manager/Care Coordinator | 602 Chase, Cordova, AK 99574 | 2008-01-23 |
| 1578749412 | Kris Susan Johnston | Case Manager/Care Coordinator | 602 Chase Ave., Cordova, AK 99574 | 2008-01-10 |
| Find all providers in zip 99574 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811411481 | Ella-victoria M Robinson | Counselor | 174 Scarborough Ln Apt 301, Cordova, TN 38018-4865 | 2017-07-26 |
| 1649706557 | Irene Y. Bernard | Counselor | 9725 Woodland Hills Dr, Cordova, TN 38018-6661 | 2017-05-11 |
| 1356895890 | Vanessa Chavez- Asforis | Counselor | 8271 N Fletcher Run Cir, Apt. 104, Cordova, TN 38016-2018 | 2016-08-13 |
| 1841858552 | Nadja Michelle Marion | Counselor | 213 Rhonda Cir E, Cordova, TN 38018-4325 | 2019-05-29 |
| 1619275310 | James Joshua Short | Counselor | 1155 Cully Rd, Cordova, TN 38018-8502 | 2011-03-03 |
| 1255640157 | Katisha Fields | Counselor | 1155 Cully Rd, Cordova, TN 38018-8502 | 2010-09-27 |
| 1528377520 | Erin Ware | Counselor | 1155 Cully Rd, Cordova, TN 38018-8502 | 2010-09-25 |
| 1518117027 | Carlos Vicente Gonzalez | Counselor | 1155 Cully Rd, Cordova, TN 38018-8502 | 2008-09-22 |
| 1861653966 | Brandy Je'vonne Flynn | Counselor | 1088 Rogers Rd, Cordova, TN 38018-8546 | 2008-06-20 |
| 1336312024 | Cynthia Margaret Zeller-gonzalez | Counselor | 1155 Cully Rd, Cordova, TN 38018-8502 | 2008-04-02 |
| Find all providers in CORDOVA | ||||
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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.