Individual provider Active NPI

Katherine C Cunningham, PHD

  • Clinical Psychologist
  • Harlingen, TX
National Provider Identifier
1285111674
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5366 Issued in NC
Practice address
2601 Veterans Dr
Harlingen, TX 78550
Phone
(540) 266-0134
NPI assigned
Jul 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 5366 NC Primary

Addresses

Primary practice location

2601 Veterans Dr
Harlingen, TX 78550

Mailing address

208 24TH St SW Apt 5
Roanoke, VA 24014-1757
Phone (617) 435-4154

Other practice location 1

1970 Roanoke Blvd
Salem, VA 24153-6404
Phone (540) 982-2463

Other practice location 2

3022 Croasdaile Dr Ste 300
Durham, NC 27705-2507
Phone (919) 384-8582 ext. 4030

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5366NCMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1285111674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 24TH ST SW APT 5",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141757",
            "telephone_number": "617-435-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 VETERANS DR",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "78550",
            "telephone_number": "540-266-0134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1970 Roanoke Blvd",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "VA",
            "postal_code": "241536404",
            "country_code": "US",
            "telephone_number": "540-982-2463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3022 Croasdaile Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277052507",
            "country_code": "US",
            "telephone_number": "919-384-8582 x4030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "KATHERINE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "5366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.