Individual provider Active NPI

Edward John Kuhnley, M.D.

  • Child & Adolescent Psychiatry Physician
  • Prescott Valley, AZ
National Provider Identifier
1366443434
Registry record updated May 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
0101029164 Issued in VA
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

Updated by the provider on May 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
186465OtherANTHEM PROVIDER NUMBER
010220742MedicaidVA
203639329001OtherTRICARE PROVIDER NUMBER
204775OtherVALUE OPTIONS PROVIDER NU
2120869OtherCIGNA BEHAVIOR PROVIDER N
O85925OtherSENTARA PROVIDER NUMBER
20-3639329OtherPCHP PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, AZ, CT, FL4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20051230000227 VA Practitioner - Psychiatry 2668494972 Reassigns benefits to 1 organization
I20160727000576 AZ Practitioner - PsychiatryPractitioner - Neurology 2668494972 Reassigns benefits to 1 organization
I20211228002412 CT Practitioner - Psychiatry 2668494972 Reassigns benefits to 3 organizations
I20240219002876 FL Practitioner - Psychiatry 2668494972

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
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
West Yavapai Guidance Clinic IncGroup PAC ID 3375524358, 21 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
West Yavapai Guidance Clinic, Inc Current Accepting new patients
Natchaug Hospital, Inc. CurrentSince Nov 1, 2021 Accepting new patients
West Yavapai Guidance Clinic CurrentSince Jul 7, 2016 Accepting new patients
Prospect Manchester Hospital, Inc. CurrentSince Nov 8, 2023 Accepting new patients
West Yavapai Guidance Clinic, Inc. CurrentSince Sep 29, 2020 Accepting new patients
West Yavapai Guidance Clinic Cortez CurrentSince Jul 7, 2016 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 PastSince Aug 8, 2013 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.