DR. ELLEN M SUNDBERG (PH.D.) – Psychologist, NPI 1194949602

DR. ELLEN M SUNDBERG (PH.D.) is a healthcare provider. based in Hattiesburg, Mississippi. specializing in Psychologist. They hold the professional credentials PH.D.. They hold a License No. 34 560 (MS). The NPI Number for DR. ELLEN M SUNDBERG (PH.D.) is 1194949602

Main info

Female
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELLEN M SUNDBERG (PH.D.)
NPI
1194949602
Phone
(601) 296-1295
Address
312 S 25TH AVE
Enumeration Date
13 April 2007
Last Update Date
26 November 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5413935983102
Graduation Year
1995 (31 years ago)
PAC ID
2860549797
Group Practice PAC ID
9436470606
Professional Enrollment ID
I20180801002467
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. ELLEN M SUNDBERG (PH.D.)

  • 312 S 25TH AVE

    HATTIESBURG, MS 394017301

    Phone: (601) 296-1295

    Fax: (601) 296-0119

    Type: Location

  • PO BOX 17743

    HATTIESBURG, MS 394047743

    Phone: (601) 296-1295

    Fax: (601) 296-0119

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 39401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436470606View full group profile

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Frequently asked questions

What is the 10-digit NPI for DR. ELLEN M SUNDBERG (PH.D.)?
DR. ELLEN M SUNDBERG (PH.D.) — NPI 1194949602 — is the standard way to identify this listing.
Is DR. ELLEN M SUNDBERG (PH.D.) still practicing?
DR. ELLEN M SUNDBERG (PH.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. ELLEN M SUNDBERG (PH.D.)?
For research purposes, treat DR. ELLEN M SUNDBERG (PH.D.) as Psychologist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. ELLEN M SUNDBERG (PH.D.)?
DR. ELLEN M SUNDBERG (PH.D.)'s geographic hint is Hattiesburg, Mississippi in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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