DR. BRIAN PATRICK SULLIVAN (NPI# 1174537120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174537120 |
Entity Type | Individual |
Full Name | DR. BRIAN PATRICK SULLIVAN |
Credential | PH.D. |
Practice Address |
5170 Hwy 105 S Suite 1 Banner Elk NC 28604 |
Mailing Address |
204 Fernham Pl Lewisville NC 27023-9516 |
Practice Telephone | 3364080016 |
Practice Fax Number | 8288982451 |
Mailing Telephone | 3369454721 |
Enumeration Date | 2006-07-27 |
Last Update Date | 2020-10-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103T00000X | Psychologist | 1442 | NC | Behavioral Health & Social Service Providers |
Y | 103TC0700X |
Psychologist Specialization: Clinical |
1442 | NC | Behavioral Health & Social Service Providers |
N | 103TC1900X |
Psychologist Specialization: Counseling |
1442 | NC | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972761252 | Brian Michael Sullivan | Family Medicine | 514 Americas Way, Apt 6347, Box Elder, SD 57719-7600 | 2008-05-23 |
1336282961 | Brian C Sullivan | Chiropractor | 142 Rantoul St, Beverly, MA 01915-4241 | 2007-02-14 |
1306947338 | Brian A Sullivan | Chiropractor | 101 Blossom Dr, Winchester, VA 22602-6100 | 2006-09-25 |
1770145401 | Brian Patrick Sullivan | Surgery | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2019-07-02 |
1659869550 | Brian Thomas Sullivan | Student in an Organized Health Care Education/Training Program | 601 N Caroline St # 5165, Baltimore, MD 21287-0006 | 2018-04-25 |
1316466956 | Brian H Sullivan | Community Health Worker | 140 Route 303, Valley Cottage, NY 10989-5906 | 2017-09-14 |
1699290106 | Brian Sullivan | Counselor | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2017-08-04 |
1831551654 | Brian Sullivan | Student in an Organized Health Care Education/Training Program | 5100 W Broad St, Columbus, OH 43228-1607 | 2016-03-22 |
1639558893 | Brian Sullivan | Social Worker | 301 Broadway, Chelsea, MA 02150-2807 | 2015-05-21 |
1467794735 | Brian Sullivan | Internal Medicine | 508 Fulton St, Durham, NC 27705-3875 | 2013-03-25 |
Street Address |
5170 HWY 105 S SUITE 1 |
City | BANNER ELK |
State | NC |
Zip Code | 28604 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184194755 | William H Burrow Dds Pllc Dba High Country Dental Associates | Clinic/Center | 2043 Tynecastle Highway, Banner Elk, NC 28604 | 2018-11-27 |
1699268953 | Barium Springs Home for Children | Community/Behavioral Health | 158 Grandfather Home Drive Bldg 2, Banner Elk, NC 28604 | 2018-06-12 |
1578973996 | Grandfather Home for Children, Inc. | Community Based Residential Treatment Facility, Mental Illness | 158 Grandfather Home Drive, Banner Elk, NC 28604 | 2014-05-07 |
1134417314 | Grandfather Home for Children, Inc. | Community Based Residential Treatment Facility, Mental Illness | 233 Grandfather Home Dr., Banner Elk, NC 28604 | 2011-07-21 |
1841598745 | Ivan Smith | Pharmacist | 4059 Nc Hwy 105, Rite Aid Pharmacy, Sugar Mountain, NC 28604 | 2011-03-02 |
1043515679 | Grandfather Home for Children, Incorporated | Community/Behavioral Health | 64 Grandfather Home Drive, Banner Elk, NC 28604 | 2011-01-12 |
1710133012 | Stephanie Knowles | Social Worker | 158 Grandfather Home for Children Way, Hickory Nut Gap Road, Banner Elk, NC 28604 | 2008-08-18 |
1235313909 | Dennis Robert Blair | Respiratory Therapist, Registered | 335 Leslie Ln, Banner Elk, NC 28604 | 2007-12-18 |
1780867291 | Robert Jones | Spec/Tech, Cardiovascular | 28 Wildcat Creek Lane, Banner Elk, NC 28604 | 2007-12-07 |
1730308172 | Erling L Fredrickson | Social Worker | 158 Grandfather Home Way, Hickory Nut Gap Rd., Banner Elk, NC 28604 | 2007-04-24 |
Find all providers in zip 28604 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699861807 | Robert Lee Houck | Psychologist | 1161 Balm Hwy, Banner Elk, NC 28604-9499 | 2006-10-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932708062 | Daniel Vanhoy Blalock | Psychologist | 411 W Chapel Hill St Ste 600, Durham, NC 27701-3270 | 2020-10-20 |
1770181059 | Blake Daniel Herd | Psychologist | 1501 Highwoods Blvd Ste 101, Greensboro, NC 27410-2051 | 2020-10-09 |
1306453832 | Hsiao-wen Wang | Psychologist | 8450 Falls of Neuse Rd Ste 200, Raleigh, NC 27615-3549 | 2020-09-29 |
1265048342 | Joseph Giles Winger | Psychologist | 2200 W Main St Erwin Square Plaza, Durham, NC 27710-0001 | 2020-09-23 |
1447877618 | Sarah M Amedoro | Psychologist | 930 Dillingham Rd, Barnardsville, NC 28709-9784 | 2020-07-02 |
1518584986 | Amber Nikole Bates | Psychologist | 83 W Moss Creek Dr, Clayton, NC 27520-6908 | 2020-07-01 |
1013530831 | Lari Meeker Jackson | Psychologist | 832 Laurel Garden Way, Cary, NC 27513-2046 | 2020-05-27 |
1124640537 | Katherine Ramos | Psychologist | 2200 W Main St Ste 300, Durham, NC 27705-4677 | 2020-05-08 |
1104447242 | Arbor Behavioral Health | Psychologist | 1100 Navaho Dr Ste 123, Raleigh, NC 27609-7359 | 2020-04-29 |
1679109300 | Carol D Nudelman | Psychologist | 10 Twinflower Trl, Asheville, NC 28804-0044 | 2020-03-13 |
Find all providers with the same taxonomy |
City | BANNER ELK |
Zip Code | 28604 |
Please comment or provide details below to improve the information on DR. BRIAN PATRICK 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.