MR. MICHAEL LYNN CUNNINGHAM


Address: 62 S 950 W, Brigham City, UT 84302-4424
Phone: 4355385063

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children Residential Treatment Facilities

Other Providers MICHAEL CUNNINGHAM

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

Office Location

Street Address 62 S 950 W
City BRIGHAM CITY
State UT
Zip Code 84302-4424

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

Search similar providers

City BRIGHAM CITY
Zip Code 84302

Improve Information

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Dataset Information

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.

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