DR. CHARLES JOHN CUNNING (NPI# 1164785119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164785119 |
| Entity Type | Individual |
| Full Name | DR. CHARLES JOHN CUNNING |
| Credential | PH.D. |
| Practice Address |
205 Woodside Dr Gaffney SC 29340-2853 |
| Practice Telephone | 8644871039 |
| Mailing Telephone | 8644871039 |
| Enumeration Date | 2012-06-23 |
| Last Update Date | 2012-06-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers | ||
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers |
| Street Address |
205 WOODSIDE DR |
| City | GAFFNEY |
| State | SC |
| Zip Code | 29340-2853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116943 | Mark Reynolds | Nurse Practitioner | 840 West Floyd Baker Blvd, Gaffney, SC 29340 | 2019-07-24 |
| 1477805448 | Upstate Carolina Ems Inc | Ambulance | 145 Medical Center Dr., Gaffney, SC 29340 | 2012-10-15 |
| 1730439811 | Mickey Dean Bailey | Pharmacist | 229 West Buford Dtreet, Gaffney, SC 29340 | 2012-09-14 |
| 1780959825 | Mqp Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 115 W. Buford St., Gaffney, SC 29340 | 2012-03-21 |
| 1750448858 | Peachtree Centre Cherokee County Long Term Health | Assisted Living Facility | 1434 N. Limestone Street, Gaffney, SC 29340 | 2007-01-02 |
| 1629151550 | Otis Donnell Speight | Emergency Medicine | 510 Thompson Street, Dba Ltc Health Solutions, Gaffney, SC 29340 | 2006-10-23 |
| 1881604965 | Andrew P Harakas Md Pa | Specialist | 1552 N Limestone St, Suite C, Gaffney, SC 29340 | 2006-08-09 |
| 1023026358 | Pamela Turner Boone | Pharmacist | 1530 N. Limestone St, Gaffney, SC 29340 | 2006-08-03 |
| 1831126606 | Bruce Douglas Mikota | Chiropractor | 111 West Rutledge Avenue, Gaffney, SC 29340 | 2006-06-27 |
| 1063469062 | John Colby Stowell | Surgery | 117 E Montgomery St, Gaffney, SC 29340 | 2006-05-27 |
| Find all providers in zip 29340 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427177716 | Thomas Anthony Hammill Jr. | Psychologist | 207 Swartz Rd, Lexington, SC 29072 | 2007-03-28 |
| 1588766844 | Lydia Haren | Psychologist | 2900 Evatt Ln, Suite 106, Charleston, SC 29405-8700 | 2006-09-05 |
| 1801824701 | Joseph Patrick Boland | Psychologist | 1 Harbison Way, Suite 110, Columbia, SC 29212-3422 | 2006-06-29 |
| 1497188999 | Michelle P Cooke | Psychologist | 4390 Belle Oaks Dr, North Charleston, SC 29405 | 2013-08-20 |
| 1871806182 | Joshua P. Smith | Psychologist | 67 President St # 4north, Office 437, Charleston, SC 29425-8908 | 2010-07-16 |
| 1154461291 | Elizabeth Jane Santa Ana | Psychologist | 171 Ashley Ave, Charleston, SC 29425-0100 | 2007-02-07 |
Please comment or provide details below to improve the information on DR. CHARLES JOHN CUNNING.
| 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.