Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mark Elmer Sundby, PHD

Individual provider Counseling Psychologist · NPI 1710278502

Dr. Mark Elmer Sundby, PHD is a Clinical Psychologist in New Brighton, Minnesota. Qualified in 1997, 29 years ago. Practices with North Central Ministry Development Center, Inc, an 8-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
29
Licensed in
MN
In the registry since
2011
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

516 Mission House Ln
New Brighton, MN 55112-2571
Phone: (651) 636-5120
Fax: (651) 636-5124
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence LP4114 (MN)

Record details

NPI number1710278502
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedApril 27, 2011
Last updated in NPPESApril 27, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice North Central Ministry Development Center, Inc. — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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