ANDREW JAMES SULLIVAN (NPI# 1164942983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164942983 |
| Entity Type | Individual |
| Full Name | ANDREW JAMES SULLIVAN |
| Practice Address |
20 Eastbrook Rd Suite 104 Dedham MA 02026 |
| Mailing Address |
20 Eastbrook Rd Ste 104 Dedham MA 02026-2088 |
| Practice Telephone | (781) 329-9365 |
| Practice Fax Number | 7813024635 |
| Mailing Telephone | 7813299365 |
| Mailing Fax Number | 7813024635 |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2017-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932628344 | Andrew Thomas Sullivan | Student in an Organized Health Care Education/Training Program | 106 Mccall Street, Clover, SC 29710 | 2017-09-18 |
| 1881621720 | Andrew L Sullivan | Family Medicine | 777 Township Line Rd, Suite 200, Yardley, PA 19067-5552 | 2006-06-27 |
| 1235127796 | Andrew J Sullivan | Family Medicine | 34 N Helderberg Pkwy, Slingerlands, NY 12159-9258 | 2005-10-10 |
| 1992163646 | Andrew Joseph Sullivan | Specialist | 801 Pleasant St, Brockton, MA 02301-3052 | 2016-02-09 |
| 1497131445 | Andrew Sullivan | Physical Therapist | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2015-07-31 |
| 1780067678 | Andrew Sullivan | Physician Assistant | 802 Ackerly St, Lamoni, IA 50140-1544 | 2015-07-09 |
| 1932454261 | Andrew James Sullivan | Nurse Practitioner | 2316 1st Ave S, Birmingham, AL 35233-2414 | 2012-07-24 |
| 1932470291 | Andrew Sullivan | General Practice | 162 1st St Bldg 1402, Port Hueneme, CA 93043-4316 | 2012-01-19 |
| 1881837490 | Andrew Christopher Sullivan | Anesthesiology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2009-04-13 |
| 1437277399 | Andrew J Sullivan | Physical Therapist | 5 Edgewood Ave, Greenwich, CT 06830-5211 | 2007-03-27 |
| Street Address |
20 EASTBROOK RD SUITE 104 |
| City | DEDHAM |
| State | MA |
| Zip Code | 02026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992898035 | Toward Independent Living & Learning, Inc. | Clinic/Center | 20 Eastbrook Rd, Dedham, MA 02026-2075 | 2006-10-02 |
| 1770181513 | Kathryn Sargent | Behavior Technician | 20 Eastbrook Rd, Dedham, MA 02026-2075 | 2020-10-14 |
| 1144828492 | Dalianjely Cruz | Behavior Technician | 20 Eastbrook Rd, Dedham, MA 02026-2075 | 2020-10-09 |
| 1912513300 | Nasheline Jean-baptiste | Behavior Technician | 20 Eastbrook Rd, Dedham, MA 02026-2075 | 2020-09-21 |
| 1396360251 | Nadege Poirier-nye | Behavioral Analyst | 20 Eastbrook Rd, Dedham, MA 02026-2075 | 2020-06-16 |
| 1023658770 | Rhiannon Leigh | Social Worker | 20 Eastbrook Rd, Dedham, MA 02026-2075 | 2020-01-10 |
| 1326687542 | Brian Tutino | Behavioral Analyst | 20 Eastbrook Rd, Dedham, MA 02026-2075 | 2020-01-06 |
| 1013559582 | Josephine Maldonado | Counselor | 20 Eastbrook Rd, Dedham, MA 02026-2075 | 2019-10-16 |
| 1942857743 | Rosalind Kahan | Behavior Technician | 20 Eastbrook Rd, Dedham, MA 02026-2075 | 2019-08-26 |
| 1477100238 | Heidys Mendez | Counselor | 20 Eastbrook Rd, Dedham, MA 02026-2075 | 2019-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879651 | Convenientmd LLC | Clinic/Center | 983 Boston-providence Turnpike, Dedham, MA 02026 | 2020-10-21 |
| 1497354674 | Lifetime Physical Therapy | Physical Therapist | 453 Sprague St, Dedham, MA 02026 | 2020-10-20 |
| 1164060067 | Healthy Healing Home Care Agency LLC | In Home Supportive Care | 3 Allied Dr Suite 303, Dedham, MA 02026 | 2019-12-11 |
| 1689149023 | Alyssa Michel | Counselor | 20 E Astbrook Rd, Suite 104, Dedham, MA 02026 | 2018-10-12 |
| 1467968800 | Joshua A Helm | Chiropractor | 200 Boston Providence Highway, Suite #206, Dedham, MA 02026 | 2017-12-21 |
| 1598283848 | Jason Peltier | Physical Therapist | 606 Providence Highway, Dedham, MA 02026 | 2017-09-07 |
| 1558883371 | Padme Physical Therpay | Clinic/Center | 227 Legacy Place Boulevard, Stil Studio, Dedham, MA 02026 | 2017-07-13 |
| 1851828107 | Pm Pediatrics of New England | Pediatrics | 719 Providence Highway, Dedham, NY 02026 | 2017-05-17 |
| 1740715846 | Stil Legacy Dedham | Physical Therapist | 227 Legacy Place, Dedham, MA 02026 | 2017-04-26 |
| 1053856310 | Donald Hughes | Social Worker | 270 Bridge Street, Suite 301, Dedham, MA 02026 | 2016-12-22 |
| Find all providers in zip 02026 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710599360 | Jessica Kim | Counselor | 30 Eastbrook Rd Ste 303, Dedham, MA 02026-2084 | 2020-08-17 |
| 1144777145 | Bianca Grace | Counselor | 31 Whitehall St, Dedham, MA 02026-2206 | 2016-09-07 |
| 1528437886 | Ashley Riker | Counselor | 13 Altoona Rd, Dedham, MA 02026-5301 | 2015-09-16 |
| 1558737841 | Jacqueline Donovan | Counselor | 20 Eastbrook Rd Ste 104, Dedham, MA 02026-2088 | 2015-08-20 |
| 1437531407 | Thaddieus Sarpy | Counselor | 369 Washington St Ste 202, Dedham, MA 02026-1869 | 2015-06-25 |
| 1619224037 | Nicholas James Pietrwski | Counselor | 70 Leonard St, Dedham, MA 02026-2624 | 2012-08-06 |
| 1043542830 | Renee T Rejent-bowser | Counselor | 2 Fox Meadow Ln, Dedham, MA 02026-6208 | 2010-02-04 |
| 1770817538 | Lisa E Bastos | Counselor | 20 Eastbook Rd, Suite 103, Dedham, MA 02026 | 2009-09-28 |
| 1285886614 | Blanca I Valentin | Counselor | 29 Paradise Ln, Dedham, MA 02026-2907 | 2008-10-16 |
| 1780706077 | Frances A Dunning | Counselor | 827 Green Lake Rd, Dedham, ME 04429-4541 | 2007-04-06 |
| Find all providers in DEDHAM | ||||
Please comment or provide details below to improve the information on ANDREW JAMES SULLIVAN.
| 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.