MARY SULLIVAN (NPI# 1083712228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | LP3263 | MN | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Street Address |
2550 UNIVERSITY AVE W SUITE 310N |
City | SAINT PAUL |
State | MN |
Zip Code | 55114-1052 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 55114 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
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] |
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 |
Find all providers in SAINT PAUL |
City | SAINT PAUL |
Zip Code | 55114 |
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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.