MR. MICHAEL LYNN CUNNINGHAM (NPI# 1427351972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427351972 |
Entity Type | Individual |
Full Name | MR. MICHAEL LYNN CUNNINGHAM |
Practice Address |
62 S 950 W Brigham City UT 84302-4424 |
Practice Telephone | 4355385063 |
Practice Fax Number | 4355385065 |
Mailing Telephone | 4355385063 |
Mailing Fax Number | 4355385065 |
Enumeration Date | 2010-12-06 |
Last Update Date | 2010-12-06 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831469709 | Michael Joseph Cunningham | Speech-Language Pathologist | 35 Hausman St, Brooklyn, NY 11222-4503 | 2012-01-09 |
1013062504 | Michael Taylor Cunningham | Dentist | 365 S Linden Ave, Waynesboro, VA 22980-3503 | 2007-01-24 |
1205913316 | Michael Cunningham | Physical Therapist | 1030 E County Line Rd Ste A2, Indianapolis, IN 46227-2933 | 2006-11-01 |
1821075516 | Michael H Cunningham Sr. | Ophthalmology | 842 S Cowley St, Suite 1, 2, 3, Spokane, WA 99202-1234 | 2005-12-23 |
1659369577 | Michael J Cunningham | Family Medicine | 1200 Prospect Street, Ste 103, Sandusky, OH 44870-4793 | 2005-10-13 |
1629620489 | Michael Joseph Cunningham | Counselor | 2600 Cordova St Ste 101, Anchorage, AK 99503-2745 | 2019-07-11 |
1730661984 | Michael Robert Cunningham | Pharmacist | 6000 W Highway 98, Pensacola, FL 32512-0001 | 2018-09-04 |
1821587742 | Michael Cunningham | Student in an Organized Health Care Education/Training Program | 102 Mason Farm Rd, Chapel Hill, NC 27599-6134 | 2018-05-07 |
1366817728 | Michael David Cunningham | Counselor | 8 Sun St, Salinas, CA 93901 | 2015-12-09 |
1558749606 | Michael Cunningham | Dermatology | 281 Lincoln St, Worcester, MA 01605-2138 | 2015-05-09 |
Street Address |
62 S 950 W |
City | BRIGHAM CITY |
State | UT |
Zip Code | 84302-4424 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952529034 | Chanelle Toyn | Social Worker | 62 S 950 W, Brigham City, UT 84302-4424 | 2007-04-23 |
1811318777 | Tyson Hancock | Counselor | 62 S 950 W, Brigham City, UT 84302-4424 | 2013-12-19 |
1790106664 | Jacob Bybee | Counselor | 62 S 950 W, Brigham City, UT 84302-4424 | 2013-12-19 |
1285055186 | Dave Kafton | Counselor | 62 S 950 W, Brigham City, UT 84302-4424 | 2013-12-18 |
1144657172 | Brett J. Davis | Counselor | 62 S 950 W, Brigham City, UT 84302-4424 | 2013-10-04 |
1407127954 | Jayson Loyd Leming | Counselor | 62 S 950 W, Brigham City, UT 84302-4424 | 2012-01-14 |
1386933836 | Brian Majors | Counselor | 62 S 950 W, Brigham City, UT 84302-4424 | 2011-04-05 |
1902105331 | Kyle Jay Whitaker | Counselor | 62 S 950 W, Brigham City, UT 84302-4424 | 2011-03-24 |
1982903316 | Nikki Lee Jones | Counselor | 62 S 950 W, Brigham City, UT 84302-4424 | 2011-03-24 |
1437458882 | Benjamin J Dixon | Counselor | 62 S 950 W, Brigham City, UT 84302-4424 | 2011-03-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669945531 | Brandon Lee Allen | Counselor | 971 South 800 West, #104, Brigham City, UT 84302 | 2019-01-03 |
1104307495 | Tiffany Burnhope | Social Worker | 663 Parker Lane, Brigham City, UT 84302 | 2018-08-24 |
1558858464 | Michael Clark | Optometrist | 990 Medical Dr Ste G3, Brigham City, UT 84302 | 2018-04-16 |
1497273130 | Emily Marler | Counselor | 862 South Main Suite 4, Brigham City, UT 84302 | 2017-09-01 |
1003268731 | Tyler Beckstrand | Social Worker | 125 N Main Street, Brigham City, UT 84302 | 2016-07-06 |
1780030155 | Angela Stott | Case Manager/Care Coordinator | 160 E 800 S Apt. B216, Brigham City, UT 84302 | 2016-05-04 |
1699156802 | Christopher Jacobson | Family Medicine | 1050 Medical Dr, Brigham City, UT 84302 | 2015-06-12 |
1811377765 | Courtney Allred | Counselor | 863 S Main Street Suite 2, Brigham, UT 84302 | 2015-06-05 |
1235529579 | Belinda Castro | Counselor | 862 S Main Street Suite 2, Brigham City, UT 84302 | 2015-01-26 |
1760871818 | Ambryn Mccallson | Counselor | 862 S. Main, 4, Brigham City, UT 84302 | 2015-01-13 |
Find all providers in zip 84302 |
Taxonomy Code | 322D00000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Emotionally Disturbed Children |
A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407112667 | Youth Track Inc | Residential Treatment Facility, Emotionally Disturbed Children | 862 S, Suite 4, Brigham City, UT 84302 | 2012-04-02 |
1215473699 | Rite of Passage, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 862 S Main St Ste 4, Brigham City, UT 84302-3389 | 2017-01-10 |
1477958981 | Apex Youth Services Excel | Residential Treatment Facility, Emotionally Disturbed Children | 82 S 800 W, Brigham City, UT 84302-2400 | 2014-10-27 |
1679861108 | Michael Steven Canning Jr. | Residential Treatment Facility, Emotionally Disturbed Children | 862 S Main St, Brigham City, UT 84302-3320 | 2011-07-18 |
1326340175 | Ryan Read Jones | Residential Treatment Facility, Emotionally Disturbed Children | 62 S 950 W, Brigham City, UT 84302-4424 | 2010-11-30 |
1821390261 | Robert Shane Strong | Residential Treatment Facility, Emotionally Disturbed Children | 58 S 950 W, Brigham City, UT 84302-4424 | 2010-11-17 |
1982925780 | Triumph Academy Inc | Residential Treatment Facility, Emotionally Disturbed Children | 62 S 950 W, Brigham City, UT 84302-4424 | 2010-06-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063013167 | Elevated Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 10928 S Eureka Dune Dr, South Jordan, UT 84009-4173 | 2020-11-04 |
1003430133 | Cascade Academy | Residential Treatment Facility, Emotionally Disturbed Children | 430 W 200 N, Midway, UT 84049 | 2020-06-04 |
1659900835 | Change Academy At Lake of The Ozarks | Residential Treatment Facility, Emotionally Disturbed Children | 266 South Left Fork Hobble Creek Canyon Road, Springville, UT 84663 | 2020-04-08 |
1083107320 | Red Circle Lodge, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 930 N Memorial St, Hildale, UT 84784 | 2018-06-12 |
1023560679 | Meridian Mentoring | Residential Treatment Facility, Emotionally Disturbed Children | 635 South Main St., Orangeville, UT 84537 | 2016-10-31 |
1720456981 | Gateway Academy, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 941 E Cattail Dr, Draper, UT 84020-8583 | 2015-09-04 |
1033592290 | Keystone Family Support, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2558 Valley View Dr, Layton, UT 84040-7654 | 2015-07-07 |
1285033977 | Utah Family Care LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3575 S 3200 W Apt 6c, West Valley City, UT 84119-3571 | 2014-08-19 |
1982011649 | Teen Discovery Home | Residential Treatment Facility, Emotionally Disturbed Children | 10 East 100 South, Gunnison, UT 84634 | 2014-07-15 |
1245663947 | South Pointe Youth | Residential Treatment Facility, Emotionally Disturbed Children | 1500 South 580 West, Manti, UT 84642-0314 | 2013-08-16 |
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City | BRIGHAM CITY |
Zip Code | 84302 |
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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.