David Michael Cummins, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PSY 2022232 Issued in ID

Practice address

1310 W Hays St
Boise, ID 83702-5025

Phone

(208) 949-6765

Fax

(815) 642-8485

NPI assigned

Sep 2, 2005

Sex

Male

Sole proprietor

Yes

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

Enrolled in ID

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

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Northend Wellness, LLC

  • Psychologist
  • Boise, ID
  • NPI 1306230958
  Medicare reassignment Authorized official
• Maitri House Yoga, LLC

  • Clinical Psychologist
  • Boise, ID
  • NPI 1689116246
  NPD (past)

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1669466827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 W HAYS ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025025",
            "telephone_number": "208-949-6765",
            "fax_number": "815-642-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 W HAYS ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025025",
            "telephone_number": "208-949-6765",
            "fax_number": "815-642-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINS",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "ID",
            "license": "PSY 2022232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Culbertson, PT
• Reanna Elizabeth Culjat, LMSW
• Michelle Therese Cullinan, PMHNP-BC
• Annika I Cullison
• Kathryn Cummings, MSW
• Catherine A Cunagin, MD
• Grace Love Cunningham
• V M. Cuppage, CRNA
• Jeremey Cureton, NP
• Katelynde Curey, LMSW

• Counseling Psychologist in Boise, ID
• Providers in Boise, ID by specialty
• Counseling Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.