Annelise Miya Cunningham, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6750 Issued in NC

Practice address

225 E Worthington Ave
Charlotte, NC 28203-4867

Phone

(773) 531-8738

NPI assigned

Mar 22, 2021

Last updated

May 27, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Locations

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.

• Forsyth Medical Group, LLC

  dba Privia Medical Group - North Carolina

  • Obstetrics & Gynecology Physician
  • Hendersonville, NC
  • NPI 1750081378

  Clinical

  Medicare reassignment NPD
• Otterly Connected Psychological Services, PLLC

  • Clinical Psychologist
  • Charlotte, NC
  • NPI 1407792765
  NPD Authorized official
• Cunningham Psychological & Consultation Services LLC

  dba AMC The Practice

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1235828351
  NPD Authorized official
• Forsyth Medical Group LLC

  dba Queen City Ear Nose and Throat

  • Otolaryngology Physician
  • Monroe, NC
  • NPI 1710866405
  NPD

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1992381727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8013 SWITCHBACK TRL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282137165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E WORTHINGTON AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034867",
            "telephone_number": "773-531-8738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7006 Shannon Willow Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282261318",
            "country_code": "US",
            "telephone_number": "980-960-0526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "ANNELISE",
        "middle_name": "MIYA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "6750",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0005562",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071010903",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071010903",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "PSY.0005562",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Rae Cummins, FNP-C
• Meggie Tran Cung
• Raphael Leonardo Cunha de Araujo, MD
• Bridgette Lynn Cunningham Carita, LCMHC
• Althea Mascarenhas Cunningham, MD
• Barbara D Cunningham, SLP
• Cameron Cunningham, MD
• Cheryl Cunningham, NP
• Chiquita Cunningham
• Colleen Keating Cunningham, PA-C

• Clinical Psychologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.