Dianne Y. Sundby, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY4162 Issued in CA

Practice address

9229 W. Sunset Blvd.
Suite 502
Los Angeles, CA 90069-3405

Phone

(310) 274-3423

Fax

(310) 274-5317

NPI assigned

May 8, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431043200000",
    "number": "1215315478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9229 W. SUNSET BLVD.",
            "address_2": "SUITE 502",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900693405",
            "telephone_number": "310-274-3423",
            "fax_number": "310-274-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9229 W. SUNSET BLVD.",
            "address_2": "SUITE 502",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900693405",
            "telephone_number": "310-274-3423",
            "fax_number": "310-274-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDBY",
        "first_name": "DIANNE",
        "middle_name": "Y.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-08",
        "last_updated": "2015-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY4162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jawahar Sundaram, MD
• Michele Lynn Sundaram, DO
• Pavithra Sundaravaradan
• Santosh Kumar Sundaresan
• Sunday Pediatrics a Professional Corporation
• Tiffany Ann Sunde, PSYD MFT
• Sundo Ham, DDS. Inc.
• Pablo Alejandro Sune, MTBC
• Sunflower Surgical Inc
• Sung H. Chin Therapeutic Adhc Services, Inc.

• Clinical Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.