Individual provider Active NPI

Dana Cunningham, PH.D

  • Psychologist
  • Lanham, MD
National Provider Identifier
1639283849
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
04320 Issued in MD
Practice address
9332 Annapolis Rd Ste 303
Lanham, MD 20706-3144
Phone
(202) 642-1648
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Psychologist 103T00000X 04320 MD Primary

Addresses

Primary practice location

9332 Annapolis Rd Ste 303
Lanham, MD 20706-3144

Mailing address

9332 Annapolis Rd Ste 303
Lanham, MD 20706-3144

Other identifiers 1

IdentifierTypeStateIssuer
012204100OtherMDPROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
04320MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sankofa Psychological Services, LLC CurrentSince May 12, 2024 Accepting new patients
Interdynamics, Inc. CurrentSince May 29, 2024 Accepting new patients
Interdynamics, Inc. PastSince May 29, 2024 Accepting new patients

Locations

8181 Professional Pl
Ste 200
Landover, MD 20785
Phone (301) 306-4590

9332 Annapolis Rd
Ste 303
Lanham, MD 20706
Phone (202) 642-1648

Organizations & group practices 3

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1639283849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9332 ANNAPOLIS RD STE 303",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9332 ANNAPOLIS RD STE 303",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063144",
            "telephone_number": "202-642-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "DANA",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "04320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "012204100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

Verify at the official NPI Registry.