Active NPI
Edward Cunliffe, PHD
- Forensic Psychologist
- Lake Worth, FL
National Provider Identifier
1144698929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- PY6979
- Practice address
- 521 Lake Ave Ste 8
Lake Worth, FL 33460-3846 - Phone
- (305) 484-0832
- Fax
- (305) 668-7450
- NPI assigned
- Sep 10, 2015
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | PY6979 | FL | |
| Clinical Psychologist | 103TC0700X | PY6979 | FL | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PY6979 | FL | |
| Forensic Psychologist | 103TF0200X | PY6979 | FL | Primary |
| Health Service Psychologist | 103TH0100X | PY6979 | FL | |
| Group Psychotherapy Psychologist | 103TP2701X | PY6979 | FL |
Addresses
Primary practice location
521 Lake Ave Ste 8
Lake Worth, FL 33460-3846
Mailing address
521 Lake Ave Ste 8
Lake Worth, FL 33460-3846
Phone (305) 484-0832
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)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Treatment Options | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441843200000",
"number": "1144698929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 LAKE AVE STE 8",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334603846",
"telephone_number": "305-484-0832",
"fax_number": "305-668-7450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 LAKE AVE STE 8",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334603846",
"telephone_number": "305-484-0832",
"fax_number": "305-668-7450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNLIFFE",
"first_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-10",
"last_updated": "2015-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "FL",
"license": "PY6979",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY6979",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "FL",
"license": "PY6979",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "FL",
"license": "PY6979",
"primary": true
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "FL",
"license": "PY6979",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "FL",
"license": "PY6979",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.