Sunda Friedman Tebockhorst, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4121 Issued in CO

Practice address

6680 Gunpark Dr
Suite 200
Boulder, CO 80301-3349

Phone

(720) 387-8458

Fax

(720) 208-0666

NPI assigned

Nov 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

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

Practice roles

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.

• Dr. Sunda Friedman Tebockhorst Psychological Services, LTD.

  • Clinical Psychologist
  • Durango, CO
  • NPI 1720695992

  Counselor

  NPD (past) Authorized official
• Dr. Sunda Friedman Tebockhorst Psychologicl Services, LTD

  • Psychologist
  • Lafayette, CO
  • NPI 1669008314
  NPD (past) Authorized official
• Dr. Sunda Friedman Tebockhorst Psychologicl Services, LTD

  • Psychologist
  • Lafayette, CO
  • NPI 1548657877

  Professional

  NPD (past)

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1730360983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6680 GUNPARK DR",
            "address_2": "SUITE 200",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013349",
            "telephone_number": "720-387-8458",
            "fax_number": "720-208-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6680 GUNPARK DR",
            "address_2": "SUITE 200",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013349",
            "telephone_number": "720-387-8458",
            "fax_number": "720-208-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEBOCKHORST",
        "first_name": "SUNDA",
        "middle_name": "FRIEDMAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "4820",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "4820",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "4820",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "4121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Franklin Taylor Jr.
• TBD Health Inc.
• TC'S Community
• Erin Teague, PTA
• Seth Tebockhorst, M.D.
• Ted C. Kawulok D.D.S., P.C.
• Ted C. Kawulok, D.D.S.
• Philip Tedeschi, LCSW
• Lisa Teesdale, R.N.
• Melisa Magali Teglas, M.A.

• Psychologist in Boulder, CO
• Providers in Boulder, CO by specialty
• Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.