Active NPI
Edward John Kuhnley, M.D.
- Child & Adolescent Psychiatry Physician
- Prescott Valley, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 0101029164
- Practice address
- 3345 N Windsong Dr
Prescott Valley, AZ 86314-2283 - Phone
- (928) 445-5211
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 21761 | CT | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 0101029164 | VA | Primary |
Addresses
Primary practice location
3345 N Windsong Dr
Prescott Valley, AZ 86314-2283
Mailing address
103 Rum Runner Way
St Johns, FL 32259-2267
Phone (434) 316-4646
Other practice location 1
189 Storrs Rd
Mansfield Center, CT 06250-1683
Phone (860) 456-1311
Other practice location 2
1355 S International Pkwy Ste 14811491
Lake Mary, FL 32746-1694
Phone (407) 559-7011
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 186465 | Other | ANTHEM PROVIDER NUMBER | |
| 010220742 | Medicaid | VA | |
| 203639329001 | Other | TRICARE PROVIDER NUMBER | |
| 204775 | Other | VALUE OPTIONS PROVIDER NU | |
| 2120869 | Other | CIGNA BEHAVIOR PROVIDER N | |
| O85925 | Other | SENTARA PROVIDER NUMBER | |
| 20-3639329 | Other | PCHP PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, AZ, CT, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Virginia School of Medicine, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
505 S Cortez St
West Yavapai Guidance Clinic Inc Cortez Cli
Prescott, AZ 86303-4319
Phone (928) 445-5211
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Yavapai Guidance Clinic, Inc | Current | Accepting new patients | |
| Natchaug Hospital, Inc. | Current | Accepting new patients | |
| West Yavapai Guidance Clinic | Current | Accepting new patients | |
| Prospect Manchester Hospital, Inc. | Current | Accepting new patients | |
| West Yavapai Guidance Clinic, Inc. | Current | Accepting new patients | |
| West Yavapai Guidance Clinic Cortez | Current | Accepting new patients | |
| Eastern Connecticut Medical Professionals Foundation, Inc | Past | Accepting new patients | |
| Acadia Healthcare, Inc | Past | Accepting new patients | |
| State of Alaska Department of Administration | Past | Accepting new patients | |
| Horizon Behavioral Health | Past | Accepting new patients |
Locations
555 W Road 3 N
Chino Valley, AZ 86323
Phone (520) 636-7682
505 S Cortez St
Prescott, AZ 86303
Phone (602) 445-7730
3345 N Windsong Dr
Prescott Valley, AZ 86314
Phone (928) 583-6411
3343 N Windsong Dr
Prescott Vly, AZ 86314
Phone (406) 541-3669
71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981
189 Storrs Rd
Mansfield Ctr, CT 06250
Phone (860) 456-1311
31 Union St
Vernon Rockvl, CT 06066
Phone (860) 289-6451
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
Interoperability endpoints
- edward.kuhnley@xdr.hhchealthdirect.org
Organizations & group practices 11
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.
-
- Psychiatric Hospital
- Prescott, AZ
- NPI 1952550071
-
- Psychiatric Hospital
- Mansfield Center, CT
- NPI 1295811321
-
- General Acute Care Hospital
- Manchester, CT
- NPI 1316394638
-
- General Acute Care Hospital
- Vernon, CT
- NPI 1205283538
-
- Clinic/Center
- Camp Verde, AZ
- NPI 1538878186
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Prescott, AZ
- NPI 1871547430
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bangor, ME
- NPI 1568477297
-
- Specialist
- South Windsor, CT
- NPI 1497864516
-
- Substance Abuse Rehabilitation Facility
- Lynchburg, VA
- NPI 1508941105
-
- Psychiatric Hospital
- Anchorage, AK
- NPI 1497842553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714867200000",
"number": "1366443434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 RUM RUNNER WAY",
"city": "ST JOHNS",
"state": "FL",
"postal_code": "322592267",
"telephone_number": "434-316-4646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3345 N WINDSONG DR",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863142283",
"telephone_number": "928-445-5211"
}
],
"practiceLocations": [
{
"address_1": "189 Storrs Rd",
"address_purpose": "LOCATION",
"city": "Mansfield Center",
"state": "CT",
"postal_code": "062501683",
"country_code": "US",
"telephone_number": "860-456-1311",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1355 S International Pkwy Ste 14811491",
"address_purpose": "LOCATION",
"city": "Lake Mary",
"state": "FL",
"postal_code": "327461694",
"country_code": "US",
"telephone_number": "407-559-7011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUHNLEY",
"first_name": "EDWARD",
"middle_name": "JOHN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2024-05-05",
"certification_date": "2024-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "21761",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "VA",
"license": "0101029164",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "186465",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010220742",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE PROVIDER NUMBER",
"identifier": "203639329001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS PROVIDER NU",
"identifier": "204775",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIOR PROVIDER N",
"identifier": "2120869",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA PROVIDER NUMBER",
"identifier": "O85925",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PCHP PROVIDER NUMBER",
"identifier": "20-3639329",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prescott Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.