Amy Sundheim, M.ED., CAGS, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

192847 Issued in AK

Practice address

601 E Pioneer Ave Ste 209
Homer, AK 99603-7694

Phone

(907) 435-1071

Fax

(907) 531-7360

NPI assigned

Apr 5, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

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.

• Zank Center, LLC

  • Speech-Language Pathologist
  • Homer, AK
  • NPI 1942968342

  Behavior Analyst

  NPD
• Changing Tides Therapy Services, Inc

  • Speech-Language Pathologist
  • Homer, AK
  • NPI 1710817184

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1942941950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 MISSION RD",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996039361",
            "telephone_number": "206-707-5683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E PIONEER AVE STE 209",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037694",
            "telephone_number": "907-435-1071",
            "fax_number": "907-531-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDHEIM",
        "first_name": "AMY",
        "credential": "M.ED., CAGS, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "AK",
            "license": "192847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Rae Stillwell, RN
• Molly Stonorov
• Beatrix Strobel
• Sharon Lou Strutz-Norton, RN
• Summit Physical Therapy, Inc.
• Alice Swaim
• Johanna Jean Swedberg
• Anastasia Taylor
• The Ark LLC
• The Ark of Homer

• All providers in Homer, AK
• Behavior Analyst in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.