Active NPI
Daniel W Cunningham, PSYD
- Clinical Psychologist
- Pasadena, CA
National Provider Identifier
1033468657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY25145
- Practice address
- 65 N Catalina Ave
Pasadena, CA 91106-2301 - Phone
- (626) 676-0701
- Fax
- (562) 431-8875
- NPI assigned
- Aug 29, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY25145 | CA | Primary |
Addresses
Primary practice location
65 N Catalina Ave
Pasadena, CA 91106-2301
Mailing address
65 N Catalina Ave
Pasadena, CA 91106-2301
Phone (626) 676-0701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY25145 | CA | MD | Clinical Psychologist |
Interoperability endpoints
- lifestancehealth.danielcunningham@148377.advancedmd-direct.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353974400000",
"number": "1033468657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 N CATALINA AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911062301",
"telephone_number": "626-676-0701",
"fax_number": "562-431-8875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 N CATALINA AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911062301",
"telephone_number": "626-676-0701",
"fax_number": "562-431-8875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "DANIEL",
"middle_name": "W",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-29",
"last_updated": "2012-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY25145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.