MARY SULLIVAN


Address: 2550 University Ave W, Suite 310n, Saint Paul, MN 55114-1052
Phone: 6513795157

MARY SULLIVAN (NPI# 1083712228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083712228
Entity Type Individual
Full Name MARY SULLIVAN
Credential LP
Practice Address 2550 University Ave W
Suite 310n
Saint Paul
MN 55114-1052
Mailing Address 1008 31st Ave N
Minneapolis
MN 55411-1329
Practice Telephone 6513795157
Mailing Telephone 6125294311
Enumeration Date 2006-09-20
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist LP3263 MN Behavioral Health & Social Service Providers

Other Providers MARY SULLIVAN

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1487135430 Mary Sullivan Registered Nurse 2527 Hiawatha, San Antonio, TX 78210-5422 2018-08-28
1508315961 Mary Sheila Sullivan Dietitian, Registered 16 Raymond Dr, Wilbraham, MA 01095-2606 2016-09-27
1073851192 Mary Barbara Sullivan General Practice 1403 Wind River Dr Se, Huntsville, AL 35802-3936 2013-01-24
1144572546 Mary Elizabeth Sullivan Social Worker 123 Garden St, Needham, MA 02492-2029 2012-10-09
1164784781 Mary Sullivan Specialist 3 Hawthorne St, Hicksville, NY 11801-2607 2012-06-10
1811268980 Mary E Sullivan Psychologist 901 E Hackberry Ave Rm C-204, Mcallen, TX 78501-6502 2012-01-22
1366756272 Mary Kate Sullivan Occupational Therapy Assistant 50 Madison Rd, Dumas, AR 71639-9385 2010-08-03
1740592955 Mary Elizabeth Sullivan Social Worker 2201 South 17th Street, Lincoln, NE 68502-2953 2010-07-06
1215267554 Mary J Sullivan Speech-Language Pathologist 95 Skowhegan Rd, Maine Center for Integrated Rehab, Fairfield, ME 04937-3303 2010-01-08
1588893564 Mary Loraine Sullivan Obstetrics & Gynecology 133 W Main St # 240, El Cajon, CA 92020-3315 2009-07-10

Office Location

Street Address 2550 UNIVERSITY AVE W
SUITE 310N
City SAINT PAUL
State MN
Zip Code 55114-1052

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396747143 Colleen Rae Caspers Nurse Practitioner 2550 University Ave W, Suite 423 South, Saint Paul, MN 55114-1052 2005-08-11
1538707484 Hannah Weaver Nutritionist 2550 University Ave W, Saint Paul, MN 55114-1052 2019-12-11
1881251114 Miriam Rebecca Koch Gerber Psychologist 2550 University Ave W, Saint Paul, MN 55114-1052 2019-05-22
1578036042 Sarah Lazarewicz Social Worker 2550 University Ave W, Saint Paul, MN 55114-1052 2019-01-08
1215443049 Frederick Marcus Vickery Counselor 2550 University Ave W, Saint Paul, MN 55114-1052 2017-12-15
1790222438 Plastic Surgery Consultants Plastic Surgery 2550 University Ave W, Ste 110n, Saint Paul, MN 55114-1052 2017-01-19
1720537350 Kulule H Kenea Nurse Practitioner 2550 University Ave W, Suite 325s, Saint Paul, MN 55114-1052 2016-09-23
1992250187 Erin Ziolkowski Dietitian, Registered 2550 University Ave W, Saint Paul, MN 55114-1052 2016-08-17
1396196655 Alyssa Greene Counselor 2550 University Ave W, Saint Paul, MN 55114-1052 2016-06-28
1194174854 Accessible Space, Inc. Respite Care 2550 University Ave W, Suite 330n, Saint Paul, MN 55114-1052 2016-06-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790205698 Der Yang Registered Nurse 2356 University Ave W #220, Saint Paul, MN 55114 2017-06-21
1679949358 Mallory Haglund Counselor 284 West Rocky Lane, Boulder, NV 55114 2015-08-17
1083090880 Kayla Estenson Marriage & Family Therapist 2324 University Ave West, 120, St. Paul, MN 55114 2015-08-04
1184023772 Preetanjali Thakur Dentist 2550 University Avenue West Suite 189s, St Paul, MN 55114 2014-08-19
1023426210 Melanie Bayer Witthoft Social Worker 762 Transfer Road, 21, St. Paul, MN 55114 2014-07-31
1184046518 Britni Kelley Marriage & Family Therapist 821 Raymond Ave Ste 325, Saint Paul, MN 55114 2014-01-21
1205257581 Arti Kaul Dentist 808 Berry St, Apy 126, St Paul, MN 55114 2014-01-03
1588907109 Jesus M Calvillo Counselor 821 Raymond Ave Ste 230, Saint Paul, MN 55114 2013-04-02
1154669414 Caringhands Home Health Care Inc. Home Health 2233 University Ave West, Suite 330, St Paul, MN 55114 2013-01-22
1396021424 The Avalon Charter School Local Education Agency (LEA) 700 Glendale Street, Saint Paul, MN 55114 2011-11-03
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013557057 Erik De Water Clinical Neuropsychologist 1876 Minnehaha Ave W, Saint Paul, MN 55104-1029 2020-01-07
1609333038 Minnesota Neuropsychology, LLC Clinical Neuropsychologist 370 Selby Ave Ste 312, Saint Paul, MN 55102-1884 2019-02-21
1629150479 Nan C Truitt Clinical Neuropsychologist 265 Phalen Blvd, Saint Paul, MN 55130-2400 2006-10-20
1619066446 Kristen Ann Ryan Clinical Neuropsychologist 190 5th St E, Ste. 100, Saint Paul, MN 55101-2666 2006-10-12
1770689705 Gale Valtinson & Associates Pa Clinical Neuropsychologist 423 Warwick St, Saint Paul, MN 55105-2548 2006-09-16
1568473569 Jack B. Schaffer Clinical Neuropsychologist 1790 Goodrich Ave, Saint Paul, MN 55105-1907 2006-08-11
1053936922 Suzanne Moseley Clinical Neuropsychologist 225 Smith Ave N, Saint Paul, MN 55102-2533 2020-06-16
1720540974 Tou Khang Clinical Neuropsychologist 393 Dunlap St N Ste 105, Saint Paul, MN 55104-4211 2019-04-04
1811434038 Sarah Marie Olson Clinical Neuropsychologist 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 2017-01-25
1437576840 Jordan Robinson Clinical Neuropsychologist 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 2014-03-24
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Competitor

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City SAINT PAUL
Zip Code 55114

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Dataset Information

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.

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