Jamal Rashad Cunningham, M.ED., PSY.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

3611-57 Issued in WI

Practice address

1845 N Farwell Ave Ste 303B
Milwaukee, WI 53202-1715

Phone

(872) 216-2514

NPI assigned

Nov 10, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

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.

• Woven Roots Behavioral Health LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Milwaukee, WI
  • NPI 1477385508
  NPD Authorized official

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

{
    "created_epoch": "1541808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541808000000",
    "number": "1265900922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 N CRAMER ST APT 21",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532113509",
            "telephone_number": "301-922-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 N FARWELL AVE STE 303B",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532021715",
            "telephone_number": "872-216-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "JAMAL",
        "middle_name": "RASHAD",
        "name_prefix": "Dr.",
        "credential": "M.ED., PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-10",
        "last_updated": "2018-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "3611-57",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "WI",
            "license": "3611-57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Joseph Cunniff, MD
• Ashley M Cunningham, M.D.
• Christina Pamela Cunningham
• Irene A Cunningham, L.C.S.W.
• Jacinda Jasmine Cunningham
• Latricia Waynette Cunningham, LCSW, SAC-IT
• Myeshia Cunningham
• Renata Marie Cunningham, COTA
• Cup of Tea Psychiatry
• Curative Care Network

• Clinical Child & Adolescent Psychologist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Clinical Child & Adolescent Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2018; 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.