MRS. EVELYN DIANE CUNNINGHAM (NPI# 1740432384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740432384 |
| Entity Type | Individual |
| Full Name | MRS. EVELYN DIANE CUNNINGHAM |
| Credential | ATR-BC, LMHC |
| Practice Address |
9 Canton St Randolph MA 02368-2424 |
| Mailing Address |
390 Adams St Quincy MA 02169-1704 |
| Practice Telephone | 7819864800 |
| Mailing Telephone | 6177861242 |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2008-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
5777 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215182696 | Evelyn Cunningham | Licensed Practical Nurse | 27 Rose Avenue, #c3, Spring Valley, NY 10977 | 2008-11-26 |
| 1811469273 | Evelyn Cunningham | Nurse Practitioner | 4150 Clement St, San Francisco, CA 94121-1563 | 2018-12-26 |
| Street Address |
9 CANTON ST |
| City | RANDOLPH |
| State | MA |
| Zip Code | 02368-2424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942459375 | Lannie Lee | Counselor | 9 Canton St, Randolph, MA 02368-2424 | 2008-09-10 |
| 1023382058 | New Life Counseling & Wellness Center | Social Worker | 9 Canton St, Randolph, MA 02368 | 2012-03-08 |
| 1083984033 | Carmen Elizabeth Cabrera | Case Manager/Care Coordinator | 9 Canton St, Randolph, MA 02368-2424 | 2012-01-09 |
| 1528348216 | Ilana Marram | Counselor | 9 Canton St, Randolph, MA 02368-2424 | 2011-08-25 |
| 1235438458 | Marie Mirta Jean | Counselor | 9 Canton St, Randolph, MA 02368-2424 | 2011-03-28 |
| 1699080556 | Stephanie Isabel Sousa | Social Worker | 9 Canton St, Randolph, MA 02368-2424 | 2010-08-16 |
| 1174834477 | Rebecca Randolph Allen | Social Worker | 9 Canton St, Randolph, MA 02368-2424 | 2010-07-01 |
| 1609197847 | Galen Luther Stone | Social Worker | 9 Canton St, Randolph, MA 02368-2424 | 2010-06-22 |
| 1679894026 | Jean D Guilloteau | Social Worker | 9 Canton St, Randolph, MA 02368-2424 | 2010-06-21 |
| 1346561354 | New Life Counseling | Community/Behavioral Health | 9 Canton St, Randolph, MA 02368-2424 | 2010-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016444 | Kadiatou Djindji Bah | Behavior Technician | 75 N Main St Suite 628, Randolph, MA 02368 | 2020-09-02 |
| 1194334490 | Madison Murphy | Behavior Technician | 75 North Main Street, Ma, Suite #628, Randolph, MA 02368 | 2020-07-23 |
| 1255995049 | Daniel Joseph Bellistri | Social Worker | Daniel Bellistri, 70 Memorial Pkwy., Randolph, MA 02368 | 2019-04-26 |
| 1992291124 | Ashley Lauren Davis | Licensed Practical Nurse | 11 Mcdonnell Drive, Randolph, MA 02368 | 2018-07-11 |
| 1023503943 | Jean Rony Mesalon | Licensed Practical Nurse | 8 Reynolds Ave, Randolph, MA 02368 | 2018-06-22 |
| 1154829208 | Tatianna Lovette Hendren | Behavioral Analyst | 28 Liberty Place, Apartment C, Randolph, MA 02368 | 2018-01-24 |
| 1841709698 | Gerica Barbosa | Counselor | 37 Sarah St, Randolph, MA 02368 | 2017-09-25 |
| 1437508629 | Julie A Panchamsingh-barakat | Social Worker | 400-, 402 N Main St, Randolph, MA 02368 | 2016-06-08 |
| 1497109789 | Grace Dorcas Pokuah | Counselor | 24 Nelson Dr, #1a, Randolph, MA 02368 | 2016-04-22 |
| 1194185868 | Heavenly Home Care | Home Health | 9 William Morrison Drive, Randolph, MA 02368 | 2016-02-24 |
| Find all providers in zip 02368 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063044774 | Safe Space Therapeutic Services, Inc. | Counselor | 10 Mazzeo Dr Ste 206, Randolph, MA 02368-3433 | 2020-02-10 |
| 1336770155 | Crystal Casel | Counselor | 356 Main St E, Randolph, NY 14772-9696 | 2020-01-30 |
| 1386112126 | Bianca S Mathe | Counselor | 55 Birch Dr, Randolph, MA 02368-3406 | 2018-11-09 |
| 1184122566 | Lois T Awah | Counselor | 10 Mill Hill St, Randolph, MA 02368-5082 | 2018-01-31 |
| 1851800114 | Stephanie Jasinski | Counselor | 19 Harmony Rd, Randolph, NJ 07869 | 2017-09-29 |
| 1841709698 | Gerica Barbosa | Counselor | 37 Sarah St, Randolph, MA 02368 | 2017-09-25 |
| 1114462116 | Paula Marie Weaver | Counselor | 25 Norfolk Rd, Randolph, MA 02368-4714 | 2016-12-29 |
| 1902259088 | Grace Gichuhi | Counselor | 286 Canton St, Randolph, MA 02368-1506 | 2016-07-13 |
| 1598117756 | Sharon George | Counselor | 9 Linden Park Dr, Randolph, MA 02368-4703 | 2016-07-12 |
| 1235597576 | Emline Clairvil | Counselor | 278 Canton St, Randolph, MA 02368-1506 | 2016-02-01 |
| Find all providers in RANDOLPH | ||||
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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.