DR. JACQUELYN DORAN CUNNINGHAM PHD
NPI 1417105933
Psychologist in Westfield, NJ

Active since September 09, 2008Opted out of Medicare · through Jun 9, 2028
547 E BROAD ST FL 2, WESTFIELD, NJ 07090(908) 264-2454 Get Directions Write a Review

NPPES record last updated: October 20, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jacquelyn Doran Cunningham Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACQUELYN DORAN CUNNINGHAM PHD (NPI 1417105933) is an individual psychologist in Westfield, New Jersey, licensed in New Jersey (35SI00510400) and active in the NPI registry since September 2008. She has opted out of Medicare through June 9, 2028.

NPPES Registry Identity

NPI1417105933
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JACQUELYN DORAN CUNNINGHAMCredential: PHD
Location Address547 E BROAD ST FL 2Westfield, NJ 07090-2107
Mailing Address547 E Broad St Fl 2Westfield, NJ 07090-2107 · (908) 264-2454
Sole ProprietorNo
Enumeration DateSeptember 9, 2008
Last NPPES UpdateOctober 20, 2021
NPPES CertifiedOctober 20, 2021
NPI 1417105933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NJ · 35SI00510400
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
547 E BROAD ST FL 2, Westfield, NJ 07090

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Jacquelyn Doran Cunningham Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 9, 2026 through June 9, 2028.

Opt-Out Effective DateJune 9, 2026
Opt-Out In Effect ThroughJune 9, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
547 E BROAD ST FL 2
WESTFIELD, NJ 07090

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacquelyn Doran Cunningham's NPI number?

The NPI number for Jacquelyn Doran Cunningham is 1417105933. It was assigned to this individual provider in the NPPES registry on September 9, 2008.

Where is Jacquelyn Doran Cunningham located?

Jacquelyn Doran Cunningham practices at 547 E Broad St Fl 2, Westfield, NJ 07090. The listed phone number is (908) 264-2454.

What is Jacquelyn Doran Cunningham's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jacquelyn Doran Cunningham enrolled in Medicare?

No. Jacquelyn Doran Cunningham has opted out of Medicare through June 9, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jacquelyn Doran Cunningham was last updated on October 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.