Active NPI
Mina Dunnam, PH.D.
- Clinical Neuropsychologist
- Saratoga Springs, NY
National Provider Identifier
1225134190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 008859
- Practice address
- 7 Wells St
Suite 103
Saratoga Springs, NY 12866-1200 - Phone
- (518) 581-7260
- Fax
- (518) 633-1218
- NPI assigned
- Sep 16, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 008859 | NY | Primary |
| Psychologist | 103T00000X | 008859 | NY | |
| Adult Development & Aging Psychologist | 103TA0700X | 008859 | NY | |
| Clinical Psychologist | 103TC0700X | 008859 | NY | |
| Health Service Psychologist | 103TH0100X | 008859 | NY | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 008859 | NY |
Addresses
Primary practice location
7 Wells St
Suite 103
Saratoga Springs, NY 12866-1200
Mailing address
7 Wells St
Suite 103
Saratoga Springs, NY 12866-1200
Phone (518) 581-7260
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 |
|---|---|---|---|
| Community Care Physicians, PLLC | Past | Accepting new patients | |
| Northeast Psychological Associates PLLC | Psychologist | Past | Accepting new patients |
| Northeast Psychological Associates | Psychologist | Past | Accepting new patients |
| Adirondack Neuropsychological Associates | Clinical Neuropsychologist | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Clinical Neuropsychologist
- Saratoga Springs, NY
- NPI 1073796363
-
- Internal Medicine Physician
- Latham, NY
- NPI 1922048370
-
- Clinical Psychologist
- Albany, NY
- NPI 1275751133
-
- Psychologist
- Albany, NY
- NPI 1447817093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423353600000",
"number": "1225134190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 WELLS ST",
"address_2": "SUITE 103",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128661200",
"telephone_number": "518-581-7260",
"fax_number": "518-633-1218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 WELLS ST",
"address_2": "SUITE 103",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128661200",
"telephone_number": "518-581-7260",
"fax_number": "518-633-1218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNNAM",
"first_name": "MINA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2015-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NY",
"license": "008859",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "008859",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "NY",
"license": "008859",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "008859",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "NY",
"license": "008859",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "NY",
"license": "008859",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saratoga Springs, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.