Kent Sunderland, PsyD

Psychologist, Clinical in Middletown, CT. Individual provider (NPI-1).

NPI number1003263245

StatusActive

Last updated in NPPESMay 18, 2016

Details

NPI: 1003263245
Entity type: Individual (NPI-1)
Name: Kent Sunderland
Credential: PsyD
Sex: Male
Sole proprietor: No
Enumeration date: May 18, 2016
Last updated: May 18, 2016

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
103TC0700X	Psychologist, Clinical	3559	CT	Yes

Practice location

675 Main Street
Middletown, CT 06457-2632

Phone 860-347-6971 · Fax 860-704-8034

Mailing address

675 Main Street
Middletown, CT 06457-2632

Phone 860-347-6971 · Fax 860-704-8034

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinical Psychologist providers in Middletown, CT

All 42 Clinical Psychologist providers in Middletown · All 1,959 providers in Middletown

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