Annette E Sundfor, PSY.D.

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

106 W Pierce St
Elburn, IL 60119-8201

Phone

(309) 716-0869

NPI assigned

Feb 15, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Annette E Terry Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1124296876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W PIERCE ST",
            "city": "ELBURN",
            "state": "IL",
            "postal_code": "601198201",
            "telephone_number": "309-716-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W PIERCE ST",
            "city": "ELBURN",
            "state": "IL",
            "postal_code": "601198201",
            "telephone_number": "309-716-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDFOR",
        "first_name": "ANNETTE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNETTE",
            "last_name": "TERRY",
            "middle_name": "E",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tracie Loriece Sipple, PT
• Gregory Sperry, DPT
• Lauren Renee Steers
• Richard William Stewart, DMD
• Kinga Stolarczyk, RN
• Samantha Rose Tasic, PHARM D
• Tracie L. Sipple, PT
• Trillium Health & Wellness, SC
• Valley Healthcare Associates, S.C
• Denise Vanvliet, LMT

• All providers in Elburn, IL
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.