DR. LYNN ASHLEY CUNNINGHAM (NPI# 1114253549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114253549 |
Entity Type | Individual |
Full Name | DR. LYNN ASHLEY CUNNINGHAM |
Credential | M.D. |
Practice Address |
8 W Pine Ct Saint Louis MO 63108-2110 |
Mailing Address |
4579 Laclede Ave # 443 Saint Louis MO 63108-2103 |
Practice Telephone | 3143670403 |
Practice Fax Number | 3143670178 |
Mailing Telephone | 3143670403 |
Mailing Fax Number | 3143670178 |
Enumeration Date | 2009-10-20 |
Last Update Date | 2009-10-20 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
2004017382 | MO | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285820795 | Lynn H. Cunningham | Counselor | 2468 E Helen St, Seattle, WA 98112-3616 | 2007-09-18 |
1871895748 | Lynn Cunningham | Registered Nurse | 454 Broadway, Revere, MA 02151-3034 | 2010-11-29 |
1023092160 | Lynn Marie Cunningham | Family Medicine | 1259 Fisher Ave, Cortland, NY 13045-1012 | 2005-12-02 |
Street Address |
8 W PINE CT |
City | SAINT LOUIS |
State | MO |
Zip Code | 63108-2110 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346851474 | Nigel Austen Thomas Cook | Social Worker | 4050 West Pine Blvd. Apt. 4118, St. Louis, MO 63108 | 2020-08-12 |
1467070011 | C2n Diagnostics, LLC | Clinical Medical Laboratory | 20 South Sarah Street, Saint Louis, MO 63108 | 2020-07-10 |
1609414358 | Kaylee Breitenbucher | Occupational Therapist | 4444 Forest Park Avenue, Msc 8505-94-01, St. Louis, MO 63108 | 2019-12-12 |
1114419546 | Activangels Home Health | Home Health | 4625 Lindell Blvd Ste 304, Saint Louis, MO 63108 | 2018-06-01 |
1215427349 | Heart To Heart Consolidated Home Care Service LLC | Home Health | 4625 Lindell Blvd Ste 200, Saint Louis, MO 63108 | 2018-05-15 |
1447755905 | Erin Virginia Adams | Student in an Organized Health Care Education/Training Program | 4355 Maryland Ave Apt 116, Saint Louis, MO 63108 | 2018-03-27 |
1033621172 | Roots Healthcare and Homes | In Home Supportive Care | 4300 Enright Ave, St. Louis, MO 63108 | 2017-10-30 |
1336661719 | House of Destiny Adult Day Care LLC | Clinic/Center | 4507 Olive Street, St Louis, MO 63108 | 2017-07-07 |
1003338492 | Khin Min Thu | Social Worker | 4236 Lindell Blvd., Suite 200, St Louis, MO 63108 | 2017-07-07 |
1679093967 | Together We Can Home Healthcare Services LLC | Home Health | 4144 Lindell Blvd Suite 221, Saint Louis, MO 63108 | 2017-06-27 |
Find all providers in zip 63108 |
Taxonomy Code | 103TP0016X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Prescribing (Medical) |
Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386767994 | Phoenix Psychological Group, Inc | Psychologist | 225 S Meramec Ave, Suite 506, Saint Louis, MO 63105-3596 | 2007-04-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972167773 | Great Plains Hospital | Psychologist | 1500 W Ashland St, Nevada, MO 64772-1710 | 2019-04-26 |
1902244825 | Gateway Psychiatric Group, LLC | Psychologist | 11710 Old Ballas Rd, Suite 110, Creve Coeur, MO 63141-7076 | 2013-06-13 |
1972859510 | Forest Park Neurology LLC | Psychologist | 5811 E Truman Rd, Kansas City, MO 64126-2400 | 2012-08-01 |
1376757617 | M A Mirza, LLC | Psychologist | 4045 Ne Lakewood Way, Suite 130, Lees Summit, MO 64064-1799 | 2007-05-09 |
City | SAINT LOUIS |
Zip Code | 63108 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.