Individual provider Active NPI

Chester H Sunde, PSYD

  • Clinical Psychologist
  • Redding, CA
National Provider Identifier
1528036332
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY19289 Issued in CA
Practice address
1302 Oregon St
Redding, CA 96001-1621
Phone
(530) 244-4436
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY19289 CA Primary

Addresses

Primary practice location

1302 Oregon St
Redding, CA 96001-1621

Mailing address

859 Washington St # 203
Red Bluff, CA 96080-2704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040621001187 CA Practitioner - Clinical Psychologist 3971588302 Reassigns benefits to 1 organization
Practice locations: Redding, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3400 Knighton Rd
Redding, CA 96002-9657
Phone (530) 224-3429

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Veterans Affairs of the State of California CurrentSince Dec 3, 2019 Accepting new patients
Department of Veterans Affairs of the State of California CurrentSince Dec 3, 2019 Accepting new patients

Locations

3400 Knighton Rd
Redding, CA 96002
Phone (530) 224-3429

1227 O St
Rm 402
Sacramento, CA 95814

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1528036332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 WASHINGTON ST # 203",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960802704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 OREGON ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011621",
            "telephone_number": "530-244-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDE",
        "first_name": "CHESTER",
        "middle_name": "H",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY19289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.