Active NPI
Katherine C Cunningham, PHD
- Clinical Psychologist
- Harlingen, TX
National Provider Identifier
1285111674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5366
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5366 | NC | MD | Clinical 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.