| Entity Name: | LUNDEN PSYCHOLOGICAL SERVICES INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Dec 2014 (10 years ago) |
| Document Number: | P14000098737 |
| FEI/EIN Number | 47-2552831 |
| Address: | 9160 OAKHURST ROAD, SUITE 3B, SEMINOLE, FL, 33776, US |
| Mail Address: | 9160 OAKHURST ROAD, SUITE 3B, SEMINOLE, FL, 33776, US |
| ZIP code: | 33776 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912393349 | 2015-04-13 | 2020-02-20 | 9160 OAKHURST RD, SUITE 3B, SEMINOLE, FL, 337762157, US | 9160 OAKHURST RD, SUITE 3B, SEMINOLE, FL, 337762157, US | |||||||||||||||||||||||||
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| Phone | +1 727-240-1922 |
| Fax | 7272401928 |
Authorized person
| Name | JUDY CAROL LUNDEN |
| Role | PRESIDENT/PSYCHOLOGIST |
| Phone | 7272401922 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PY9206 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 014703800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LUNDEN JUDY C | Agent | 9160 OAKHURST ROAD, SEMINOLE, FL, 33776 |
| Name | Role | Address |
|---|---|---|
| LUNDEN JUDY C | President | 9160 OAKHURST ROAD SUITE 3B, SEMINOLE, FL, 33776 |
| Name | Role | Address |
|---|---|---|
| Lunden John M | Vice President | 9160 OAKHURST ROAD, SEMINOLE, FL, 33776 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-02 |
| ANNUAL REPORT | 2024-01-24 |
| ANNUAL REPORT | 2023-01-10 |
| ANNUAL REPORT | 2022-01-13 |
| ANNUAL REPORT | 2021-01-12 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-02-04 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-03-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
