Jeremy Sundby, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY36617 Issued in CA

Practice address

1035 Suncast LN Ste 120
El Dorado Hills, CA 95762-9339

Phone

(858) 758-0587

NPI assigned

Nov 6, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781913600000",
    "number": "1548083785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4641 POST ST UNIT 5255",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957623011",
            "telephone_number": "858-758-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 SUNCAST LN STE 120",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629339",
            "telephone_number": "858-758-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDBY",
        "first_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-06",
        "last_updated": "2026-06-20",
        "certification_date": "2026-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "KS",
            "license": "LCP01559",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY36617",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY36617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summitview Child & Family Services, Inc.
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• Summitview Child and Family Services
• Angel Sun, D.D.S.
• Sundance Park Healthcare LLC
• Paul Anthony Sunseri, PSY.D.
• Sweet Dreams
• Kayla Swinford, ASW
• Britany Switzer
• James Switzer, RBT-18-58377

• Clinical Psychologist in El Dorado Hills, CA
• Providers in El Dorado Hills, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2026; 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.