Mark Elmer Sundby, PH.D.
NPI 1710278502ActiveIndividual· Psychologist, Counseling· New Brighton, MN
Psychologist, Counseling (PH.D.) with North Central Ministry Development Center, Inc., practicing in New Brighton, Minnesota. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1710278502 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | Yes |
| NPI issued | Apr 27, 2011 |
| Last updated in NPPES | Apr 27, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | LP4114 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MN) |
|---|
Education and affiliations
| Graduation year | 1997 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- North Central Ministry Development Center, Inc.New Brighton, MN · 7 clinicians
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