NPIMap

Organization Active NPI

Seaside Psychological Services

  • Clinical Psychologist
  • Newport, RI
National Provider Identifier
1023492675
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SEASIDE PSYCHOLOGICAL SERVICES
Practice address
117 Bellevue Ave
Suite 201D
Newport, RI 02840-7439
Phone
(401) 239-6895
Fax
(401) 849-3659
NPI assigned
Jul 14, 2015
Last updated
Jul 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Christopher John Cunningham, PSYDNPI 1972759975
Title
Owner
Phone
(401) 239-6895

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

117 Bellevue Ave
Suite 201D
Newport, RI 02840-7439

Mailing address

117 Bellevue Ave
Suite 201D
Newport, RI 02840-7439
Phone (401) 239-6895

National Provider Directory

National Provider Directory

Locations

117 Bellevue Ave
Ste 201D
Newport, RI 02840
Phone (401) 239-6895

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1023492675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 BELLEVUE AVE",
            "address_2": "SUITE 201D",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028407439",
            "telephone_number": "401-239-6895",
            "fax_number": "401-849-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 BELLEVUE AVE",
            "address_2": "SUITE 201D",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028407439",
            "telephone_number": "401-239-6895",
            "fax_number": "401-849-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-07-14",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-239-6895",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.