NPIMap

Organization Active NPI

Dr. Sunda Friedman Tebockhorst Psychologicl Services, LTD

Doing business as Metis Center for Psychological Services

  • Psychologist
  • Lafayette, CO
National Provider Identifier
1669008314
Registry record updated Oct 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
DR. SUNDA FRIEDMAN TEBOCKHORST PSYCHOLOGICL SERVICES, LTD
Doing business as
Metis Center for Psychological Services
Practice address
1300 Plaza CT N Ste 103
Lafayette, CO 80026-1467
Phone
(720) 387-8458
NPI assigned
Mar 13, 2020
Last updated
Oct 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2023

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

Authorized official

Name
Dr. Sunda Friedman Tebockhorst, PHDNPI 1730360983
Title
Owner
Phone
(720) 387-8458

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Psychologist 103T00000X Primary

Addresses

Primary practice location

1300 Plaza CT N Ste 103
Lafayette, CO 80026-1467

Mailing address

588 N Hwy 287
Suite 200
Lafayette, CO 80026
Phone (720) 387-8458

Other identifiers 1

IdentifierTypeStateIssuer
1547857677OtherNPI

Other names 1

  • Metis Center for Psychological Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dr Sunda Friedman Tebockhorst Psychologicl Services LTD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1300 Plaza Ct N
Ste 103
Lafayette, CO 80026
Phone (412) 260-2140

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697846400000",
    "number": "1669008314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 N HWY 287",
            "address_2": "SUITE 200",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "80026",
            "telephone_number": "720-387-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 PLAZA CT N STE 103",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800261467",
            "telephone_number": "720-387-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SUNDA FRIEDMAN TEBOCKHORST PSYCHOLOGICL SERVICES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-13",
        "last_updated": "2023-10-21",
        "certification_date": "2023-10-21",
        "status": "A",
        "authorized_official_last_name": "TEBOCKHORST",
        "authorized_official_first_name": "SUNDA",
        "authorized_official_middle_name": "FRIEDMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-387-8458",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1547857677",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metis Center for Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Metis Center for Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2023; 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.