Organization Active NPI

Lucinda Cummings, PH.D., LP, LLC

  • Clinical Psychologist
  • Golden Valley, MN
National Provider Identifier
1043252547
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP2102 Issued in MN
Legal business name
LUCINDA CUMMINGS, PH.D., LP, LLC
Practice address
8085 Wayzata Blvd
#212
Golden Valley, MN 55426-1453
Phone
(763) 546-1796
Fax
(763) 546-8260
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lucinda Cummings, PH.D.NPI 1316991342
Title
Licensed Psychologist
Phone
(763) 546-1796

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X LP2102 MN Primary

Addresses

Primary practice location

8085 Wayzata Blvd
#212
Golden Valley, MN 55426-1453

Mailing address

8085 Wayzata Blvd
#212
Golden Valley, MN 55426-1453
Phone (763) 546-1796

Other identifiers 2

IdentifierTypeStateIssuer
43P88CUOtherMNBLUE CROSS BLUE SHIELD
5550521MedicaidMN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043252547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8085 WAYZATA BLVD",
            "address_2": "#212",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261453",
            "telephone_number": "763-546-1796",
            "fax_number": "763-546-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8085 WAYZATA BLVD",
            "address_2": "#212",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261453",
            "telephone_number": "763-546-1796",
            "fax_number": "763-546-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCINDA CUMMINGS, PH.D., LP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "LUCINDA",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "763-546-1796",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP2102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "43P88CU",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5550521",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.