MR. MICHAEL PATRICK SULLIVAN (NPI# 1043285612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043285612 |
Entity Type | Individual |
Full Name | MR. MICHAEL PATRICK SULLIVAN |
Credential | BA |
Practice Address |
609 North Shore Drive Bellingham WA 98226-4414 |
Mailing Address |
3449 Redwood Avenue Suite 5 Bellingham WA 98225 |
Practice Telephone | 3606766000 |
Practice Fax Number | 3606766006 |
Mailing Telephone | 3607561366 |
Enumeration Date | 2006-02-17 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | RC00048372 | WA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366918617 | Michael David Sullivan | Social Worker | 403 1/2 Hector St, Ithaca, NY 14850-2025 | 2018-10-15 |
1376923292 | Michael Sullivan | Student in an Organized Health Care Education/Training Program | Walter Reed 8901 Rockville Pike, Bethesda, MD 20889-0001 | 2015-06-05 |
1881074896 | Michael Gregory Sullivan | Intermediate Care Facility, Mentally Retarded | 30 Hobomack Rd, Quincy, MA 02169-2508 | 2015-06-04 |
1104215136 | Michael Sullivan | Perfusionist | 137 Founders Way Ct, Cape Girardeau, MO 63701-9442 | 2015-01-14 |
1689927915 | Michael Robert Sullivan | Pharmacist | 41 Buena Vista St, Stamford, CT 06907-2402 | 2012-10-24 |
1154672038 | Michael James Sullivan | Dentist | 1882 Hard Rd, Columbus, OH 43235-1996 | 2012-10-02 |
1063791747 | Michael Gruer Sullivan | Counselor | 2024 N. Crystal Lake Dr., Suite 200 Room 205, Lakeland, FL 33801-6015 | 2011-08-11 |
1457647083 | Michael Patrick Sullivan | Dentist | 1008 G Sreet, Geneva, NE 68361 | 2011-06-22 |
1841528585 | Michael Andrew Sullivan | Counselor | 974 73rd St Ste 9, Windsor Heights, IA 50324-1026 | 2009-11-18 |
1508191388 | Michael Joseph Sullivan | Audiologist | 6644 Penn Ave S, Richfield, MN 55423-2026 | 2009-10-12 |
Street Address |
609 NORTH SHORE DRIVE |
City | BELLINGHAM |
State | WA |
Zip Code | 98226-4414 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700306610 | Chloe Rae Merino | Counselor | 609 North Shore Drive, Bellingham, WA 98226 | 2017-06-21 |
1982888681 | Gibb Jordan Fletcher | Counselor | 609 North Shore Drive, Bellingham, WA 98226-4414 | 2007-12-18 |
1609050301 | Krystyna D Faibish | Registered Nurse | 609 North Shore Drive, Bellingham, WA 98226-4414 | 2007-12-18 |
1922289248 | Daniel A Mahaffey | Counselor | 609 North Shore Drive, Bellingham, WA 98226-4414 | 2007-11-15 |
1871793232 | Nicole H Potts | Counselor | 609 North Shore Drive, Bellingham, WA 98226-4414 | 2007-07-23 |
1629162292 | Jeff James Doyle | Counselor | 609 North Shore Drive, Bellingham, WA 98226-4414 | 2006-10-03 |
1225121783 | Holly Jo Lott | Counselor | 609 North Shore Drive, Bellingham, WA 98226-4414 | 2006-10-02 |
1386695153 | Lindsey Claire Rogers | Counselor | 609 North Shore Drive, Bellingham, WA 98226-4414 | 2006-05-15 |
1316914948 | Andrea Marion Watkins | Counselor | 609 North Shore Drive, Bellingham, WA 98226 | 2006-03-02 |
1336116243 | Brian James Davidson | Counselor | 609 North Shore Drive, Bellingham, WA 98226-4414 | 2006-03-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558901090 | Advancement Northwest, LLC | Community/Behavioral Health | 410 W Bakerview Rd Suite 110, Space 107, Bellingham, WA 98226 | 2020-01-13 |
1295374882 | Unity Care Northwest | Community/Behavioral Health | Roosevelt Elementary School Bh Services, 2900 Yew St., Bellingham, WA 98226 | 2019-12-30 |
1710454913 | Shane Humason | Pharmacist | 1225 East Sunset Drive, Ste 110, Bellingham, WA 98226 | 2018-10-26 |
1508342759 | Lydia Place A Nonprofit Corporation | Counselor | 1430 North Garden Street, Bellingham, WA 98226 | 2018-07-11 |
1609384486 | Lindsay Grace Davis | Massage Therapist | 1572 Huntley Rd, Bellingham, WA 98226 | 2018-01-16 |
1760900765 | Melissa Peters | Massage Therapist | 823 W Larson Rd, Bellingham, WA 98226 | 2017-08-30 |
1245754001 | Amber Michelle Wilson | Physical Therapy Assistant | 4860 Cordata Pkwy, North Cascades Health and Rehab, Bellingham, WA 98226 | 2017-08-02 |
1063935310 | Sophie Elizabeth Kangas | Speech-Language Pathologist | 4152 Meridian Street, Suite 105, Pmb 159, Bellingham, WA 98226 | 2017-07-19 |
1639607849 | Sharon Lynn Katz-kunde | Physical Therapist | 317 E Mcleod Rd #101, Bellingham, WA 98226 | 2017-06-01 |
1376998179 | Hyowon Choi | Podiatrist | 2075 Barkley Blvd Ste 220, Bellingham, WA 98226 | 2016-04-28 |
Find all providers in zip 98226 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295357952 | Eric A Jenike | Counselor | 75 Lakeshore Dr, Bellingham, MA 02019-2813 | 2020-05-15 |
1649891581 | Jessica I Radovich | Counselor | 1101 N State St Ste 201, Bellingham, WA 98225-5066 | 2020-05-01 |
1972086494 | Amy N Hurley | Counselor | 36 Box Pond Road, Bellingham, MA 02019-0201 | 2018-09-11 |
1710406731 | Shalom Maria Shreve | Counselor | 1133 Railroad Ave., Suite 100, Bellingham, WA 98225 | 2017-09-11 |
1992258941 | Leslie Baker | Counselor | 1229 Cornwall Ave Ste 302, Bellingham, WA 98225-5023 | 2016-07-26 |
1518328319 | Kara Eads | Counselor | 1313 E Maple St Ste 214, Bellingham, WA 98225-5708 | 2016-03-08 |
1114318300 | Jeannine Tull | Counselor | 1102 Dondee Ct, Bellingham, WA 98229-2509 | 2015-02-10 |
1821404609 | Jacob Hovenier | Counselor | 702 Kentucky St # 391, Bellingham, WA 98225-4200 | 2014-07-01 |
1083038046 | Michael Joseph Kearney | Counselor | 57 Yvonne Rd, Bellingham, MA 02019-1027 | 2014-02-11 |
1679815484 | Shane Timothy Smith | Counselor | 4629 Celia Way, Apt 202, Bellingham, WA 98226-7475 | 2013-03-19 |
Find all providers in BELLINGHAM |
City | BELLINGHAM |
Zip Code | 98226 |
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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.