Mary Eisele Cummings, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

409 Issued in NM

Practice address

555 Oppenheimer Dr
200
Los Alamos, NM 87544-2384

Phone

(505) 660-8284

Fax

(505) 672-3102

NPI assigned

Jul 27, 2010

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 27, 2010.

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280188800000",
    "number": "1982918322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 OPPENHEIMER DR",
            "address_2": "200",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442384",
            "telephone_number": "505-660-8284",
            "fax_number": "505-672-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 OPPENHEIMER DR",
            "address_2": "200",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442384",
            "telephone_number": "505-660-8284",
            "fax_number": "505-672-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "MARY",
        "middle_name": "EISELE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan H. Courtney, PHYSICAL THERAPIST
• Emelyn Coussou
• Victoria Cox
• Robert Joseph Coyne Sr., LISW, LADAC
• Catharyn Dianne Crall, MS, LMHC, NCC
• Curtis a Brookover, DDS, PC
• Leslie Michelle Cutrer, LMHC
• Amelyn D'Egidio, CERT MLD THERAPIST
• Mary Loring Daggett, PHYSICIAN ASSISTANT
• Paul Daly, MD

• All providers in Los Alamos, NM
• Clinical Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.