Active NPI
Lucinda Cummings, PH.D.
- Clinical Psychologist
- Golden Valley, MN
National Provider Identifier
1316991342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP2102
- Practice address
- 8085 Wayzata Blvd
#212
Golden Valley, MN 55426-1453 - Phone
- (763) 546-1796
- Fax
- (763) 546-8260
- NPI assigned
- May 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | LP2102 | MN | Primary |
Addresses
Primary practice location
8085 Wayzata Blvd
#212
Golden Valley, MN 55426-1453
Mailing address
8085 Wayzata Blvd
#212
Golden Valley, MN 55426-1453
Phone (763) 546-1796
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43P88CU | Other | MN | BLUE CROSS BLUE SHIELD |
| 5550521 | Medicaid | MN |
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 |
|---|---|---|---|
| LP2102 | MN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lucinda Cummings, PH.D., LP, LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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 Psychologist
- Golden Valley, MN
- NPI 1043252547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316991342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8085 WAYZATA BLVD",
"address_2": "#212",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554261453",
"telephone_number": "763-546-1796",
"fax_number": "763-546-8264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8085 WAYZATA BLVD",
"address_2": "#212",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554261453",
"telephone_number": "763-546-1796",
"fax_number": "763-546-8260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMMINGS",
"first_name": "LUCINDA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP2102",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "43P88CU",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5550521",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Golden Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.