Deseri Alicia Cunningham, PSYD, LP is a medicare enrolled "Psychologist - Clinical" provider in Springfield, Missouri. Her current practice location is
1300 E Bradford Pkwy Bldg B, Springfield, Missouri. You can reach out to her office (for appointments etc.) via phone at
(417) 761-5000.
Deseri Alicia Cunningham is licensed to practice in Missouri (license number 2016035950) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1356757900.
Healthcare Provider's Profile
| Full Name | Deseri Alicia Cunningham |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 1300 E Bradford Pkwy Bldg B, Springfield, Missouri |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Deseri Alicia Cunningham attended and graduated from in
NPI Data:
- NPI Number: 1356757900
- Provider Enumeration Date: 07/03/2014
- Last Update Date: 07/24/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Deseri Alicia Cunningham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356757900 | NPI | - | NPPES |
| 490014993 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 2014022296 (Missouri) | Secondary |
| 103TC0700X | Psychologist - Clinical | 2016035950 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Deseri Alicia Cunningham is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Deseri Alicia Cunningham, PSYD, LP
1300 E Bradford Pkwy,
Springfield, MO 65804-4264
Ph: (417) 761-5000 | Deseri Alicia Cunningham, PSYD, LP
1300 E Bradford Pkwy Bldg B,
Springfield, MO 65804-4264
Ph: (417) 761-5000 |
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