Jacquelyn Doran Cunningham, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35SI00510400 Issued in NJ

Practice address

547 E Broad St FL 2
Westfield, NJ 07090-2107

Phone

(908) 264-2454

NPI assigned

Sep 9, 2008

Last updated

Oct 20, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 9, 2026 through Jun 9, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Westfield Mental Health Specialists, LLC

  • Psychiatry Physician
  • Westfield, NJ
  • NPI 1336572296
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1417105933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 E BROAD ST FL 2",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902107",
            "telephone_number": "908-264-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 E BROAD ST FL 2",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902107",
            "telephone_number": "908-264-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORAN CUNNINGHAM",
        "first_name": "JACQUELYN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00510400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dianne Donohue
• Alyssa Marie Dordoni, MA, LAC, NCC
• Dr Suzanne Offen Inc (Offen Eye Associates)
• Dr. Courtney Bloomer, DO, LLC
• Dr. Timothy J. Hamway LLC
• Sokratis G. Dragonas, DC

• Psychologist in Westfield, NJ
• Providers in Westfield, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.