Active NPI
Holly Cunningham I
- Clinical Psychologist
- Colorado Springs, CO
National Provider Identifier
1336333020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY.0005059
- Practice address
- 101 S Union Blvd
Colorado Springs, CO 80910 - Phone
- (888) 365-6271
- NPI assigned
- Sep 5, 2007
- Last updated
- Sep 26, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Clinical Psychologist | 103TC0700X | PSY.0005059 | CO | Primary |
Addresses
Primary practice location
101 S Union Blvd
Colorado Springs, CO 80910
Mailing address
3732 E Chapparal Way
Yuma, AZ 85365-8352
Phone (951) 533-3679
Other practice location 1
217 W Cerritos Ave
Bldg #8
Anaheim, CA 92805-6549
Phone (714) 254-8473
Other practice location 2
217 W Cerritos Ave
Bldg #8
Anaheim, CA 92805-6549
Phone (714) 254-8473
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Art of Intelligent Minds | Mental Health | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Aim
- Community/Behavioral Health Agency
- Yuma, AZ
- NPI 1134857071
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569456000000",
"number": "1336333020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3732 E CHAPPARAL WAY",
"city": "YUMA",
"state": "AZ",
"postal_code": "853658352",
"telephone_number": "951-533-3679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S UNION BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80910",
"telephone_number": "888-365-6271"
}
],
"practiceLocations": [
{
"address_1": "217 W Cerritos Ave",
"address_2": "Bldg #8",
"address_purpose": "LOCATION",
"city": "Anaheim",
"state": "CA",
"postal_code": "928056549",
"country_code": "US",
"telephone_number": "714-254-8473",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "217 W Cerritos Ave",
"address_2": "Bldg #8",
"address_purpose": "LOCATION",
"city": "Anaheim",
"state": "CA",
"postal_code": "928056549",
"country_code": "US",
"telephone_number": "714-254-8473",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "HOLLY",
"name_suffix": "I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-05",
"last_updated": "2019-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "PSY.0005059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.