Provider Demographics
NPI:1902795628
Name:SUNDEL, BRIDGET PICARD (PSYD)
Entity type:Individual
Prefix:
First Name:BRIDGET
Middle Name:PICARD
Last Name:SUNDEL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 SEAPORT BLVD UNIT 621
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02210-2095
Mailing Address - Country:US
Mailing Address - Phone:443-306-8598
Mailing Address - Fax:
Practice Address - Street 1:900 COMMONWEALTH AVE STE 2
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-1200
Practice Address - Country:US
Practice Address - Phone:961-061-7353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist