Mary Cunningham-Bryant, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY10067 Issued in CA

Practice address

240 Tamal Vista Blvd Ste 162
Corte Madera, CA 94925-1156

Phone

(415) 927-7748

Fax

(415) 927-1646

NPI assigned

Jun 13, 2007

Last updated

Jul 30, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1194929042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 TAMAL VISTA BLVD STE 150",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251156",
            "telephone_number": "415-927-7748",
            "fax_number": "415-927-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 TAMAL VISTA BLVD STE 162",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251156",
            "telephone_number": "415-927-7748",
            "fax_number": "415-927-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM-BRYANT",
        "first_name": "MARY",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY10067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courageous Counseling Center
• Coyne Operated Psychotherapy Inc
• John B. Coyne, PSYD
• Valerie Crawford, PH.D.
• Jazmine Cunanan
• Samantha Curiale, MFT
• Nicolette D'Esposito, MSOT, OTR/L
• Ivy Daep
• Nancy Dagenhart, MFT
• Tancredi F Damore, MD

• Clinical Neuropsychologist in Corte Madera, CA
• Providers in Corte Madera, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.