Individual provider Active NPI

Jamie Sundvall, PHD, PSYD, LCSW, LP

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1821495730
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
40243 Issued in TX
Practice address
145 Clinton St
New York, NY 10002-5076
Phone
(800) 995-8255
NPI assigned
Nov 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Psychologist 103TC0700X 40243 TX Primary

Addresses

Primary practice location

145 Clinton St
New York, NY 10002-5076

Mailing address

301 W Walker St
Denison, TX 75020-2449
Phone (208) 965-1594

Other practice location 1

20325 N 51st Ave Ste 168
Glendale, AZ 85308-4624
Phone (844) 385-3747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MN, AZ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20250903004017 TX Practitioner - Clinical Psychologist 7315336914 Reassigns benefits to 1 organization
I20260217001574 MN Practitioner - Clinical Social Worker 7315336914 Reassigns benefits to 1 organization
I20260618002571 AZ Practitioner - Clinical Psychologist 7315336914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sailor Health Medical PAGroup PAC ID 4486182342, 301 clinicians

Practice addresses (Care Compare)

2323 S Voss Rd
Suite 203J
Houston, TX 77057-3814
Phone (240) 201-3386

445 Minnesota St
Suite 1500
Saint Paul, MN 55101-2269
Phone (240) 201-3386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Sailor Health Medical PA Clinical CurrentSince Aug 20, 2025 Accepting new patients
Arizona Therapy Associates, LLC CurrentSince Apr 18, 2026 Accepting new patients
Raymond W Lemberg PHD PC Clinical CurrentSince Apr 18, 2026 Accepting new patients

Locations

17235 N 75th Ave
Ste F135
Glendale, AZ 85308
Phone (480) 801-2985

20325 N 51st Ave
Ste 168
Glendale, AZ 85308
Phone (480) 801-2985

2332 Galiano St
#2
Coral Gables, FL 33134
Phone (305) 998-0546

445 Minnesota St
Ste 1500
Saint Paul, MN 55101
Phone (612) 532-7105

2323 S Voss Rd
Ste 203J
Houston, TX 77057

Organizations & group practices 3

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": "1416528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1821495730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W WALKER ST",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750202449",
            "telephone_number": "208-965-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 CLINTON ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100025076",
            "telephone_number": "800-995-8255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20325 N 51st Ave Ste 168",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853084624",
            "country_code": "US",
            "telephone_number": "844-385-3747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUNDVALL",
        "first_name": "JAMIE",
        "name_prefix": "Dr.",
        "credential": "PHD, PSYD, LCSW, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-21",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "40243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.