Individual provider Active NPI

Pamela Ann Cunningham, LCSW-R

  • Clinical Social Worker
  • Newburgh, NY
National Provider Identifier
1477604064
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
400 Stony Brook CT
Newburgh, NY 12550-6522
Phone
(845) 565-0600
Fax
(866) 733-1910
NPI assigned
Jan 12, 2007
Last updated
Nov 2, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 078372 NY
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

400 Stony Brook CT
Newburgh, NY 12550-6522

Mailing address

400 Stony Brook CT
Newburgh, NY 12550-6522
Phone (845) 565-0600

Other names 1

  • Ms. Pamela Ann Budnik Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110902000626 NY Practitioner - Clinical Social Worker 6406026269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Orange Psychiatric Associates LLPGroup PAC ID 5890899819, 8 clinicians

Practice addresses (Care Compare)

400 Stony Brook CT
Newburgh, NY 12550-6522
Phone (845) 565-0600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
East Orange Psychiatric Associates, LLP Clinical CurrentSince Jan 1, 2011 Accepting new patients

Locations

400 Stony Brook Ct
Newburgh, NY 12550
Phone (845) 534-2900

400 Stony Brook Ct
Ste 1
Newburgh, NY 12550
Phone (845) 565-0600

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.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1477604064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 STONY BROOK CT",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125506522",
            "telephone_number": "845-565-0600",
            "fax_number": "866-733-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 STONY BROOK CT",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125506522",
            "telephone_number": "845-565-0600",
            "fax_number": "866-733-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "PAMELA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078372",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "BUDNIK",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "LCSW-R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newburgh, NY

Sources for this page

Verify at the official NPI Registry.