LORRAINE SULLIVAN, NURSE PRACTITIONER PSYCHIATRY PLLC (NPI# 1164823340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164823340 |
| Entity Type | Organization |
| Organization Name | LORRAINE SULLIVAN, NURSE PRACTITIONER PSYCHIATRY PLLC |
| Practice Address |
20 Montauk Hwy Blue Point NY 11715-1139 |
| Mailing Address |
756 Blue Ridge Dr Medford NY 11763-1209 |
| Practice Telephone | 5168100475 |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2014-09-08 |
| Authorized Official Name | LORRAINE SULLIVAN (NURSE PRACTITIONER) |
| Authorized Official Telephone | 5168100475 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
F400014 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02362756 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | LORRAINE SULLIVAN, NURSE PRACTITIONER PSYCHIATRY PLLC | 800 Veterans Highway, Suite 105, Hauppauge, New York 11788 |
| Street Address |
20 MONTAUK HWY |
| City | BLUE POINT |
| State | NY |
| Zip Code | 11715-1139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053312454 | Maryanne Graviano | Social Worker | 20 Montauk Hwy, Blue Point, NY 11715-1139 | 2005-08-09 |
| 1861099418 | Jessica Drake | Massage Therapist | 20 Montauk Hwy, Blue Point, NY 11715-1139 | 2020-10-07 |
| 1386007243 | Toni Marie Campiglia | Massage Therapist | 20 Montauk Hwy, Blue Point, NY 11715-1139 | 2016-03-29 |
| 1144659103 | Kathryn Amanda Busch | Marriage & Family Therapist | 20 Montauk Hwy, Blue Point, NY 11715-1139 | 2013-11-10 |
| 1275667982 | Kevin M Coleman Sr. | Social Worker | 20 Montauk Hwy, Blue Point, NY 11715-1139 | 2007-03-15 |
| 1114088366 | Diane Marascia | Social Worker | 20 Montauk Hwy, Blue Point, NY 11715-1139 | 2006-12-12 |
| 1194822007 | Linda Ann Simon | Social Worker | 20 Montauk Hwy, Blue Point, NY 11715 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366998684 | Innocentia Nkeiruka Eke | Licensed Practical Nurse | Caring Hands Home Care Inc., 263 Blue Point Avenue, Blue Point, NY 11715 | 2016-08-28 |
| 1013381714 | Marie Solages | Licensed Practical Nurse | 263 Blue Point Avenue, Caring Hands Home Care, Blue Point, NY 11715 | 2015-11-18 |
| 1750750451 | Justine Pomponio | Early Intervention Provider Agency | 24 Norwood Drive, Blue Point, NY 11715 | 2015-09-23 |
| 1447663349 | Alicia Mantione | Behavioral Analyst | 86 Montauk Hwy, Blue Point, NY 11715 | 2014-06-09 |
| 1306013487 | S Paul Zola | Emergency Medicine | 38 W Harbour Dr, Blue Point, NY 11715 | 2008-05-08 |
| 1700924586 | David E. Konnick Jr. | Licensed Practical Nurse | 320 Bluepoint Rd., Bluepoint, NY 11715 | 2007-02-02 |
| 1417093741 | Patricia Cullon Campanelli | Speech-Language Pathologist | 235a Blue Point Ave, Blue Point, NY 11715 | 2007-01-30 |
| 1922044635 | Alejandro Alfredo Godoy | Social Worker | 20 Montauk Highway, Blue Point, NY 11715 | 2006-06-21 |
| 1669909065 | Courtney Perrone | Speech-Language Pathologist | 235 Blue Point Ave, Blue Point, NY 11715 | 2017-05-16 |
| 1578098919 | Evelyn Dwumah | Registered Nurse | 263 Blue Point, Caring Hands Home Care, Blue Point, NY 11715 | 2017-04-24 |
| Find all providers in zip 11715 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518794 | Johnson Oppong | Nurse Practitioner | 160 Theodore Fremd Ave Apt C2, Rye, NY 10580-2842 | 2020-11-08 |
| 1619578366 | Jecinter L Otieno | Nurse Practitioner | 195 Hillside Dr, Oneonta, NY 13820-3611 | 2020-11-07 |
| 1073113833 | Natalie Grant-villegas | Nurse Practitioner | 1210 Fulton St Apt 1, Brooklyn, NY 11216-2003 | 2020-10-29 |
| 1780284869 | Mary Gwynne Tillotson | Nurse Practitioner | 82 Oxford Ave, Buffalo, NY 14209-1406 | 2020-10-28 |
| 1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
| 1407455967 | Marie J. Schwarz, Npp-bc PC | Nurse Practitioner | 133 E Main St Ste 3h, Babylon, NY 11702-3517 | 2020-10-25 |
| 1720687015 | Ashley Winn | Nurse Practitioner | 367 E Chester St, Long Beach, NY 11561-2324 | 2020-10-19 |
| 1114525961 | Tanya Monique Sydnor Holmes | Nurse Practitioner | 1601 Baldwin Blvd, Bay Shore, NY 11706-2145 | 2020-10-14 |
| 1669079976 | Mary Lynn Good | Nurse Practitioner | 3344 Chambers Rd # 200, Horseheads, NY 14845-1403 | 2020-10-08 |
| 1376140277 | Megan Elizabeth Bhatti | Nurse Practitioner | 2104 Delaware Ave Apt 1, Buffalo, NY 14216-3216 | 2020-10-04 |
| Find all providers with the same taxonomy | ||||
| City | BLUE POINT |
| Zip Code | 11715 |
Please comment or provide details below to improve the information on LORRAINE SULLIVAN, NURSE PRACTITIONER PSYCHIATRY PLLC.
| 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.