MR. TIMOTHY LEE CUNNINGHAM (NPI# 1922252352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922252352 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY LEE CUNNINGHAM |
| Practice Address |
141 E Main St Waterbury Clinical Services Waterbury CT 06702-2310 |
| Mailing Address |
141 E Main St 4th Floor Administration Waterbury CT 06702-2310 |
| Practice Telephone | 2037567287 |
| Practice Fax Number | 2032360122 |
| Mailing Telephone | 2035749000 |
| Mailing Fax Number | 2035749006 |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2016-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
000073 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | UBH/CONNECTICARE WELLMORE GRP/FACILITY | 060669107 | 01 |
| CT | UBH/OPTUM BEHAVIORAL HEALTH WELLMORE GRP/FACILITY | 060669107 | 01 |
| CT | MHN- MANAGED HEALTH NETWORK | 390290 | 01 |
| CT | MHN-TRICARENORTH | 390290 | 01 |
| CT | CIGNA BEHAVIORAL HEALTH | 4853958 | 01 |
| CT | UBH/UNITED HEALTHCARE WELLMORE GRP/FACILITY | 060669107 | 01 |
| CT | UBH/LIBERTY FREEDOM WELLMORE GRP/FACILITY | 060669107 | 01 |
| CT | HEALTHYCT WELLMORE GRP/FACILITY | 060669107 | 01 |
| CT | CAQH | 11241824 | 01 |
| CT | 008037428 | 05 | |
| CT | BEACON HEALTH STRATEGIES WELLMORE GRP/FACILITY | D339123 WATERBURY | 01 |
| CT | ANTHEM BCBS OF CT WELLMORE GRP/FACILITY | 060669107 | 01 |
| CT | AETNA BEHAVIORAL HEALTH | 9790693 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346636149 | Timothy Earl Cunningham | Chiropractor | 69282 Highway 59 Ste 4, Mandeville, LA 70471-7676 | 2015-04-09 |
| 1548668809 | Timothy J Cunningham | Counselor | 4441 Auburn Blvd Ste E, Sacramento, CA 95841-4139 | 2014-12-18 |
| 1841459096 | Timothy Charles Cunningham | Physical Therapist | 300 Highway 51 N, Brookhaven, MS 39601-2349 | 2008-06-03 |
| 1457493942 | Timothy Charles Cunningham | Case Manager/Care Coordinator | 17 93rd St, Keene, NH 03431-3748 | 2007-02-13 |
| Street Address |
141 E MAIN ST WATERBURY CLINICAL SERVICES |
| City | WATERBURY |
| State | CT |
| Zip Code | 06702-2310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609476548 | Mara Silva | Counselor | 141 E Main St, Waterbury, CT 06702-2310 | 2020-10-29 |
| 1861090979 | Kenndra Espinoza | Student in an Organized Health Care Education/Training Program | 141 E Main St, Waterbury, CT 06702-2310 | 2020-10-12 |
| 1972118511 | Melissa Walder | Counselor | 141 E Main St, Waterbury, CT 06702-2310 | 2020-09-10 |
| 1083228944 | Miranda Curnane | Counselor | 141 E Main St, Waterbury, CT 06702-2310 | 2020-09-08 |
| 1154935005 | Victoria Lyons | Community Health Worker | 141 E Main St, Waterbury, CT 06702-2310 | 2020-09-08 |
| 1700490901 | Billie-jo Sauvron | Student in an Organized Health Care Education/Training Program | 141 E Main St, Waterbury, CT 06702-2310 | 2020-09-04 |
| 1932713161 | Katherine Cichon | Student in an Organized Health Care Education/Training Program | 141 E Main St, Waterbury, CT 06702-2310 | 2020-09-04 |
| 1497367544 | Mackenna Jacovich | Student in an Organized Health Care Education/Training Program | 141 E Main St, Waterbury, CT 06702-2310 | 2020-08-20 |
| 1689285074 | Kimberly Porras | Community Health Worker | 141 E Main St, Waterbury, CT 06702-2310 | 2020-08-11 |
| 1013528405 | Elaine Mero | Community Health Worker | 141 E Main St, Waterbury, CT 06702-2310 | 2020-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780120295 | Melitza Velez | Counselor | 80 Prospect St., Waterbury, CT 06702 | 2017-01-09 |
| 1467813600 | Ashley Joseph | Counselor | 30 Holmes Ave, Waterbury, CT 06702 | 2016-03-16 |
| 1649662313 | Lori Arens | Social Worker | 141 E Main St Fl 4, Waterbury, CT 06702 | 2015-03-04 |
| 1265725584 | Zelda Shleifer | Audiologist | 21 W Main St Fl Place-3, Waterbury, CT 06702 | 2011-05-19 |
| 1700024585 | Charlene Angela Jurgaitis | Durable Medical Equipment & Medical Supplies | 102 Grand Street, Waterbury, CT 06702 | 2009-02-02 |
| 1518090570 | Nathan Z Imre | Pharmacist | 161 East Main St Central Pharmacy, Waterbury, CT 06702 | 2007-03-13 |
| 1922149467 | Rachael A Petitti | Social Worker | 402 East Main Street, Waterbury, CT 06702 | 2007-02-09 |
| 1710024484 | Abbot Terrace Health Center | Assisted Living Facility | 44 Abbott Terrace, Waterbury, CT 06702 | 2007-01-31 |
| 1205994555 | Michael Arcangel Padilla | Social Worker | Western Connecticut Mental Health Network, 55 West Main Street Suite 410, Waterbury, CT 06702 | 2006-12-05 |
| 1205902723 | Colette M Anderson | Social Worker | 55 West Main St Suite 410, Western Connecticut Mental Health Network, Waterbury, CT 06702 | 2006-11-27 |
| Find all providers in zip 06702 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366051468 | Evan Hunter Jr. | Counselor | 53 Hawthorne Ave, Waterbury, CT 06708-4614 | 2020-07-24 |
| 1467998674 | Abundant Life Counseling LLC | Counselor | 21 W Main St Fl 4, Waterbury, CT 06702-2013 | 2017-01-11 |
| 1386180768 | Tariq M Abdulaziz | Counselor | 91 Schraffts Dr, Waterbury, CT 06705-3271 | 2017-01-10 |
| 1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
| 1114383627 | Rhinehart Counseling Services | Counselor | 73 Mohawk St Apt A, Waterbury, CT 06706-1911 | 2016-01-13 |
| 1760847263 | Ashley Zavalko | Counselor | 247 Circular Ave, Waterbury, CT 06705-2115 | 2015-12-28 |
| 1205200672 | Tia Sharmaine Rhinehart | Counselor | 182 Grand St Ste 314, Waterbury, CT 06702-1914 | 2015-11-21 |
| 1194130112 | Learning To Live Life, LLC | Counselor | 182 Grand St, Suite 420-422, Waterbury, CT 06702-1914 | 2014-06-28 |
| 1245594159 | Jose Eduardo Crego | Counselor | 969 W Main St Ste 1d, Waterbury, CT 06708-2667 | 2012-06-26 |
| 1265741821 | Michael Dutko | Counselor | 230 Frost Rd, Waterbury, CT 06705-2154 | 2010-09-30 |
| Find all providers in WATERBURY | ||||
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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.