MR. TIMOTHY LEE CUNNINGHAM NPI 1922252352

NPI Information

NPI: 1922252352
Provider Name: MR. TIMOTHY LEE CUNNINGHAM
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
141 E MAIN ST
WATERBURY CLINICAL SERVICES
WATERBURY, CT
ZIP 06702
Phone: (203) 756-7287
Get Directions

MR. Timothy Lee Cunningham is an addiction (substance use disorder) counselor in Waterbury, CT. MR. Timothy Lee Cunningham NPI is 1922252352. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

141 E MAIN ST
WATERBURY CLINICAL SERVICES
WATERBURY, CT
ZIP 06702-310
Phone: (203) 756-7287
Fax: (203) 236-0122

The enumeration date for this NPI number is 11/12/2008 and was last updated on 7/26/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	000073	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9790693	OTHER	CONNECTICUT	AETNA BEHAVIORAL HEALTH
2	060669107	OTHER	CONNECTICUT	UBH/UNITED HEALTHCARE WELLMORE GRP/FACILITY
3	060669107	OTHER	CONNECTICUT	ANTHEM BCBS OF CT WELLMORE GRP/FACILITY
4	11241824	OTHER	CONNECTICUT	CAQH
5	D339123 WATERBURY	OTHER	CONNECTICUT	BEACON HEALTH STRATEGIES WELLMORE GRP/FACILITY
6	390290	OTHER	CONNECTICUT	MHN- MANAGED HEALTH NETWORK
7	060669107	OTHER	CONNECTICUT	HEALTHYCT WELLMORE GRP/FACILITY
8	008037428	MEDICAID	CONNECTICUT
9	060669107	OTHER	CONNECTICUT	UBH/OPTUM BEHAVIORAL HEALTH WELLMORE GRP/FACILITY
10	390290	OTHER	CONNECTICUT	MHN-TRICARENORTH
11	4853958	OTHER	CONNECTICUT	CIGNA BEHAVIORAL HEALTH
12	060669107	OTHER	CONNECTICUT	UBH/CONNECTICARE WELLMORE GRP/FACILITY
13	060669107	OTHER	CONNECTICUT	UBH/LIBERTY FREEDOM WELLMORE GRP/FACILITY
14	NOT ELIGIBLE	MEDICARE PIN	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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