DR. KIMBERLY PATRICIA CUDDY (NPI# 1447653415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447653415 |
Entity Type | Individual |
Full Name | DR. KIMBERLY PATRICIA CUDDY |
Credential | PSY.D. |
Practice Address |
1101 Johnson Ave Myrtle Beach SC 29577 |
Mailing Address |
1101 Johnson Ave Myrtle Beach SC 29577-1893 |
Practice Telephone | 8432322423 |
Mailing Telephone | 8432322423 |
Enumeration Date | 2014-10-03 |
Last Update Date | 2019-04-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
29899 | CA | Behavioral Health & Social Service Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
1000 W Carson St, B3, Torrance, CA 905022004 | 3102225072 | |
5283 Old Brownsville Rd, Corpus Christi, TX 784053908 | 3618065600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346583291 | Kimberly Cuddy | Dentist | 305 E Camp Wisdom Rd, Duncanville, TX 75116-2705 | 2013-03-28 |
1669706925 | Kimberly Marie Cuddy | Counselor | 134 Golden Gate Ave, San Francisco, CA 94102-3810 | 2009-09-18 |
Street Address |
1101 JOHNSON AVE |
City | MYRTLE BEACH |
State | SC |
Zip Code | 29577 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619969250 | Randall Paul Grove | Physician Assistant | 1101 Johnson Ave, Myrtle Beach, SC 29577-1893 | 2005-08-19 |
1629617485 | Tarzaris Mack | Social Worker | 1101 Johnson Ave, Myrtle Beach, SC 29577-1893 | 2019-12-27 |
1720633621 | Ethel Mae Santai | Physical Therapist | 1101 Johnson Ave, Myrtle Beach, SC 29577-1893 | 2019-08-07 |
1912560095 | Stephen Francis Kovacs IIi | Social Worker | 1101 Johnson Ave, Myrtle Beach, SC 29577-1893 | 2019-04-15 |
1831676857 | Stacey M Fontaine | Social Worker | 1101 Johnson Ave, Myrtle Beach, SC 29577-1893 | 2018-07-23 |
1770077588 | Richard Mehlbrech | Physical Therapist | 1101 Johnson Ave, Myrtle Beach, SC 29577 | 2018-06-15 |
1013367960 | Willa Fry | Audiologist | 1101 Johnson Ave, Suite 204, Myrtle Beach, SC 29577-1893 | 2016-06-21 |
1114382264 | Paul Anama | Physical Therapist | 1101 Johnson Ave, Rm 138, Myrtle Beach, SC 29577-1893 | 2015-12-16 |
1518346097 | Jamie Wright | Social Worker | 1101 Johnson Ave, Suite 204, Myrtle Beach, SC 29577-1893 | 2015-05-29 |
1164810297 | Charleston Vamc | Clinic/Center | 1101 Johnson Ave, Suite R-2a, Myrtle Beach, SC 29577-1893 | 2014-12-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124536446 | Well Care Home Health of The Lowcountry | Home Health | 1039 44th Ave N Ste 101, Myrtle Beach, SC 29577 | 2018-01-22 |
1518470913 | Guillot Enterprises, LLC | Hearing Instrument Specialist | 1294 Professional Dr., Suite C, Myrtle, SC 29577 | 2017-11-08 |
1598288227 | Ryan Shepherd | Pharmacist | 1705 South Kings Highway, Myrtle Beach, SC 29577 | 2017-07-25 |
1184176554 | Shannon Long | Counselor | 1293 Professional Drive, Suite D Office 222, Myrtle Beach, SC 29577 | 2016-11-01 |
1265898191 | Coastal Carolina Infectious Disease, LLC | Internal Medicine | 1110 London St Ste 102, Myrtle Beach, SC 29577 | 2016-01-07 |
1548639933 | Susan Lang | Social Worker | 1273 Professional Dr., Suite A #104, Myrtle Beach, SC 29577 | 2015-09-16 |
1043600893 | Kenneth Edward Smith | Counselor | 1125 48th Avenue North, Myrtle Beach, SC 29577 | 2015-02-02 |
1902203615 | Sc Nursing Services LLC | Home Infusion | 1297 Professional Drive, Suite 201 C3, Myrtle Beach, SC 29577 | 2014-11-24 |
1881007946 | Intercoastal Endo, PC | Dentist | 4382 Oleander Dr, Myrtle Beach, SC 29577 | 2014-06-06 |
1891115739 | Julie Hite | Pharmacist | 540 Seaboard Street, Myrtle Beach, SC 29577 | 2014-04-18 |
Find all providers in zip 29577 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447436290 | Coastal Center for Cognitive Therapy, Pa | Psychologist | 1101 Johnson Ave, Suite 200, Myrtle Beach, SC 29577-1660 | 2008-01-10 |
1720269483 | David Andrew Paris | Psychologist | 1101 Johnson Ave Ste 204, Myrtle Beach, SC 29577-1895 | 2007-11-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770181125 | Christopher Moylan | Psychologist | 200 Patewood Dr Bldg A, Greenville, SC 29615-3593 | 2020-10-16 |
1396353736 | Corvus Psychotherapy, LLC | Psychologist | 1114 Battery Creek Rd, Beaufort, SC 29902-6309 | 2020-07-22 |
1861000978 | Lauren Gay Fontenot | Psychologist | 3453 Pelham Rd Ste 107, Greenville, SC 29615-7400 | 2020-07-15 |
1306497151 | Susan K Jones LLC | Psychologist | 105 Central Ave Unit 7, Goose Creek, SC 29445-3269 | 2019-09-24 |
1518515097 | Warrenetta Crawford Mann | Psychologist | 1409 Devine Street Thomson Building, Columbia, SC 29208-0001 | 2019-08-28 |
1881247476 | Reliant Mental Health Services LLC | Psychologist | 221- 223 Adley Way Ste 221, Greenville, SC 29607-6511 | 2019-07-23 |
1487212742 | Alysha Buonerba | Psychologist | 211 King St Ste 206, Charleston, SC 29401-3184 | 2019-06-03 |
1497212435 | Katherine Elizabeth Bischoff | Psychologist | 388 Huger St, Charleston, SC 29403-4126 | 2019-02-26 |
1326512088 | Roper Saint Francis Physicians Network | Psychologist | 2097 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414-5739 | 2019-01-16 |
1861964207 | Erin Joy Schuyler | Psychologist | 26 Barn Owl Ct, Columbia, SC 29209-4488 | 2018-12-26 |
Find all providers with the same taxonomy |
City | MYRTLE BEACH |
Zip Code | 29577 |
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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.