Active NPI
Cunninghampsych LLC
- Psychiatric/Mental Health Nurse Practitioner
- Palm Bay, FL
National Provider Identifier
1235036195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- CUNNINGHAMPSYCH LLC
- Practice address
- 523 Hammond St SW
Palm Bay, FL 32908-4724 - Phone
- (954) 749-3561
- Fax
- (740) 212-8746
- NPI assigned
- Oct 23, 2026
- Last updated
- Oct 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Itashia S Cunningham, APRN
- Title
- Nurse Practitioner
- Phone
- (954) 253-8102
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
523 Hammond St SW
Palm Bay, FL 32908-4724
Mailing address
523 Hammond St SW
Palm Bay, FL 32908-4724
Phone (954) 253-8102
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Palm Bay, FL
- NPI 1538275573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792713600000",
"number": "1235036195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "523 HAMMOND ST SW",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329084724",
"telephone_number": "954-253-8102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "523 HAMMOND ST SW",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329084724",
"telephone_number": "954-749-3561",
"fax_number": "740-212-8746"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUNNINGHAMPSYCH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-23",
"last_updated": "2026-10-23",
"certification_date": "2026-10-23",
"status": "A",
"authorized_official_last_name": "CUNNINGHAM",
"authorized_official_first_name": "ITASHIA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "954-253-8102",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.