DR. SUNDA FRIEDMAN TEBOCKHORST PSYCHOLOGICL SERVICES, LTD (NPI# 1669008314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669008314 |
| Entity Type | Organization |
| Organization Name | DR. SUNDA FRIEDMAN TEBOCKHORST PSYCHOLOGICL SERVICES, LTD |
| Practice Address |
588 N Hwy 287 Suite 200 Lafayette CO 80026 |
| Practice Telephone | 7203878458 |
| Mailing Telephone | 7203878458 |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2020-03-13 |
| Authorized Official Name | DR. SUNDA FRIEDMAN TEBOCKHORST (OWNER) |
| Authorized Official Telephone | 7203878458 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1547857677 | 01 |
| Other Name | Type Code |
|---|---|
| Metis Center for Psychological Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548657877 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Counselor | 710 Burbank St, Broomfield, CO 80020-1658 | 2015-04-24 |
| Street Address |
588 N HWY 287 SUITE 200 |
| City | LAFAYETTE |
| State | CO |
| Zip Code | 80026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528671690 | Julia Michele Colton | Occupational Therapist | 110 S. Roosevelt Ave, Lafayette, CO 80026 | 2020-08-28 |
| 1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
| 1659918910 | Emily Nicole Pearson | Behavior Technician | 961 Sandstone Circle, Lafayette, CO 80026 | 2019-12-05 |
| 1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
| 1639711864 | Martina Christina Holzach | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 | 2019-10-09 |
| 1104474055 | 2nd Star Counseling | Clinic/Center | 260 S. Public Rd, Lafayette, CO 80026 | 2019-09-03 |
| 1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
| 1144704883 | Nikole J Randolph | Nutritionist | 2770 Dagny Way Suite 210, Lafayette, CO 80026 | 2018-09-19 |
| 1609388842 | Claro Scientific Laboratories Corp | Clinical Medical Laboratory | 1408 Horizon Ave Ste 101, Lafayette, CO 80026 | 2017-10-27 |
| 1811443625 | Shannon Rebecca Lamb | Social Worker | 400 East Simpson Street, Suite 210, Lafayette, CO 80026 | 2016-08-31 |
| Find all providers in zip 80026 | ||||
| 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 |
|---|---|---|---|---|
| 1083116651 | Laura Kathleen Williams | Psychologist | 935 Moraga Rd Ste 215, Lafayette, CA 94549-4562 | 2018-02-28 |
| 1649780958 | Elizabeth Owens | Psychologist | 3468 Mt Diablo Blvd Ste B200, Lafayette, CA 94549-7102 | 2017-10-02 |
| 1598126351 | Acadiana Medical Psychological Services, LLC | Psychologist | 93 Magnate Dr, Lafayette, LA 70508-3840 | 2016-03-08 |
| 1023476892 | Mary L. Freeman, Ph.d. | Psychologist | 601 W Saint Mary Blvd Ste 406, Lafayette, LA 70506-3564 | 2016-02-08 |
| 1457729329 | Elyse Marie Manteris | Psychologist | 582 Beauprez Ave, Lafayette, CO 80026-3455 | 2015-09-09 |
| 1982015764 | Taylor Kathleen Locker | Psychologist | 678b N 36th St, Lafayette, IN 47905-4474 | 2014-05-14 |
| 1013341072 | Christopher David Keiper | Psychologist | 616 S 15th St, Lafayette, IN 47905-1232 | 2013-08-27 |
| 1730468216 | Janine Danniballe | Psychologist | 1245 Ilium Cir, Lafayette, CO 80026-1217 | 2011-08-15 |
| 1750674024 | Louisiana Geriatric Psychological Services, A Professional Corporation | Psychologist | 2851 Johnston St, Suite 313, Lafayette, LA 70503-3243 | 2011-05-19 |
| 1356555874 | Renee Babin Bonin | Psychologist | 200 Beaullieu Dr Bldg 9b-1, Lafayette, LA 70508-7230 | 2007-05-10 |
| Find all providers in LAFAYETTE | ||||
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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.