Organization Active NPI

Julie Cunningham Psychiatric Services PLLC

Doing business as Holistic Psychiatric Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Pelham, NH
National Provider Identifier
1740800028
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
JULIE CUNNINGHAM PSYCHIATRIC SERVICES PLLC
Doing business as
Holistic Psychiatric Health
Practice address
17 Windham Rd
Pelham, NH 03076-2371
Phone
(978) 300-2089
NPI assigned
Apr 16, 2020
Last updated
Apr 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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

Authorized official

Name
Julie A CunninghamNPI 1962959411
Title
Owner of Entity
Phone
(978) 300-2089

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

17 Windham Rd
Pelham, NH 03076-2371

Mailing address

PO Box 848
Windham, NH 03087-0848
Phone (978) 300-2089

Other practice location 1

50 Technology Way
Nashua, NH 03060-3245
Phone (978) 300-2089

Other practice location 2

707 Chestnut St
Manchester, NH 03104-3010
Phone (978) 300-2089

Other names 1

  • HOLISTIC PSYCHIATRIC HEALTH Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200422002331 NH Part B Supplier - Clinic/Group Practice 4284064874 Receives reassigned benefits from 1 practitioner
Practice locations: Hudson, NH
O20230306000471 MA Part B Supplier - Clinic/Group Practice 4284064874 Receives reassigned benefits from 1 practitioner
Practice locations: North Andover, MA

National Provider Directory

National Provider Directory

Locations

733 Turnpike St
#133
North Andover, MA 01845
Phone (978) 300-2089

142 Lowell Rd
Unit 17168
Hudson, NH 03051
Phone (603) 580-9445

707 Chestnut St
Manchester, NH 03104
Phone (603) 222-7000

50 Technology Way
Nashua, NH 03060
Phone (978) 300-2089

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586995200000",
    "number": "1740800028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030870848",
            "telephone_number": "978-300-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WINDHAM RD",
            "city": "PELHAM",
            "state": "NH",
            "postal_code": "030762371",
            "telephone_number": "978-300-2089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Technology Way",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030603245",
            "country_code": "US",
            "telephone_number": "978-300-2089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "707 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031043010",
            "country_code": "US",
            "telephone_number": "978-300-2089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JULIE CUNNINGHAM PSYCHIATRIC SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-16",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "978-300-2089"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOLISTIC PSYCHIATRIC HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pelham, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.