DR. LAURA JEAN SULLIVAN (NPI# 1184861882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184861882 |
| Entity Type | Individual |
| Full Name | DR. LAURA JEAN SULLIVAN |
| Credential | PSY.D. |
| Practice Address |
100 Prison Rd Represa CA 95671-3000 |
| Mailing Address |
Po Box 6781 Folsom CA 95763-6781 |
| Practice Telephone | 9169858610 |
| Mailing Telephone | 9169858610 |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2009-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
PSY 22206 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912531062 | Laura Sullivan | Nurse Practitioner | 2465 Route 97 Ste 10, Glenwood, MD 21738-9749 | 2020-02-27 |
| 1992292080 | Laura Anne Sullivan | Specialist | 5 Terrace Pl, Glen Cove, NY 11542-2427 | 2018-04-16 |
| 1164833232 | Laura Sullivan | Occupational Therapist | 30 Sheffield Rd, Wilton, NY 12831-1494 | 2014-05-12 |
| 1912337502 | Laura Sullivan | Physical Therapist | 1900 American Eagle Drive, Slinger, WI 53086-9043 | 2013-11-18 |
| 1558686063 | Laura Ann Sullivan | Social Worker | 60 Perseverance Way Fl 2, Hyannis, MA 02601-1843 | 2010-03-29 |
| 1649409632 | Laura Grace Sullivan | Dentist | 1949 Cr 210 W, Saint Johns, FL 32259-2062 | 2009-07-10 |
| 1083809818 | Laura E Sullivan | Pharmacist | 3303 Grand Oaks Ct, Pittsburg, KS 66762-8737 | 2007-09-14 |
| 1932266137 | Laura Sullivan | Marriage & Family Therapist | 18 S Indiana St, Mooresville, IN 46158-1648 | 2007-01-03 |
| 1902994841 | Laura Sullivan | Psychologist | Adult Admissions Unit, John Umstead Hospital, Butner, NC 27509 | 2006-10-10 |
| 1700892437 | Laura Sullivan | Internal Medicine | 7316 S. Settler Dr., Morrison, CO 80465 | 2006-08-01 |
| Street Address |
100 PRISON RD |
| City | REPRESA |
| State | CA |
| Zip Code | 95671-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730269929 | Kathryn Eilene Peters | Pharmacist | 100 Prison Rd, Represa, CA 95671-3000 | 2006-10-16 |
| 1043795875 | Marsha Evans | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2018-09-27 |
| 1528545738 | Abby Molinet | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2018-07-20 |
| 1053847665 | Jacqueline Daasch Caoile | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2017-05-03 |
| 1427509314 | Kathryn Manness | Social Worker | 100 Prison Rd, Represa, CA 95671-3000 | 2016-10-17 |
| 1124575717 | Juzelie Gomez | Student in an Organized Health Care Education/Training Program | 100 Prison Rd, Represa, CA 95671-3000 | 2016-09-01 |
| 1336500412 | Alyssa Aguilar | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2016-03-16 |
| 1841674579 | Pembe Ethem | Student in an Organized Health Care Education/Training Program | 100 Prison Rd, Represa, CA 95671-3000 | 2015-07-13 |
| 1326441627 | Suzanne Ladson | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2014-09-30 |
| 1740682228 | Nicole Thompson | Student in an Organized Health Care Education/Training Program | 100 Prison Rd, Represa, CA 95671-3000 | 2014-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811207426 | Nicole Calma | Counselor | 100 Prison Road Sacramento State Prison, Represa, CA 95671 | 2010-10-15 |
| 1578737359 | Laura Beebe | Registered Nurse | 1 Prison Road, Csp Sacramento, Folsom, CA 95671 | 2008-04-14 |
| 1588661730 | Gregory Carl Tinloy | Dentist | 100 Prison Rd., Represa, CA 95671 | 2005-07-01 |
| 1174768972 | Timothea Greer Mcginley | Psychologist | 100 Prison Road, Csp Sacramento, Represa, CA 95671 | 2008-12-08 |
| 1275717340 | Harry Moran Singh Dhesi | Dentist | 100 Prison Road, California State Prison Sacramento, Represa, CA 95671 | 2007-12-24 |
| 1235312463 | John Maciel Jr. | Dentist | 100 Prison Road, California State Prison Sacramento, Represa, CA 95671 | 2007-12-11 |
| 1730362930 | Dennis Rulon Fairbourn | Dentist | 100 Prison Road, California State Prison Sacramento, Represa, CA 95671 | 2007-12-11 |
| 1194070219 | Regina White | Social Worker | Csp Sacramento Mhsds Regina White, 100 Prison Road, Represa, CA 95671-0001 | 2012-07-14 |
| 1306174933 | Dudley Atkinson | Social Worker | Csp Sacramento, 100 Prison Road P.o., Represa, CA 95671-0001 | 2009-11-19 |
| 1932344280 | Amy Louise Holliday | Case Manager/Care Coordinator | California State Prison At Sacramento, 100 Prison Rd, Represa, CA 95671-0001 | 2008-12-15 |
| Find all providers in zip 95671 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326441627 | Suzanne Ladson | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2014-09-30 |
| 1588901938 | Kimberly Loraine Wells | Psychologist | 300 Prison Rd, Represa, CA 95671-3001 | 2013-01-04 |
| 1093077448 | Sarah Divin | Psychologist | 100 Prison Rd, Represa, CA 95671-0002 | 2012-06-12 |
| 1144588385 | Michelle Kolinsky | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2012-04-25 |
| 1003197773 | Tiffanie L Bell-sprinkel | Psychologist | Prison Rd, Represa, CA 95671-0001 | 2011-09-07 |
| 1912135807 | Carol Lynn Camarillo | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2009-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962049130 | Ashley Cohen | Psychologist | 320 Linda Dr, Hollister, CA 95023-6646 | 2019-12-05 |
| 1174185540 | Daisy Covarrubias | Psychologist | 9727 Diana Ave, Riverside, CA 92503-4281 | 2019-07-05 |
| 1538620786 | San Diego Forensic Psychology Corporation | Psychologist | 4640 Cass Street, # 90422, San Diego, CA 92109 | 2019-03-29 |
| 1982169587 | Jocelyn Roland | Psychologist | 2937 Veneman Ave Ste B125, Modesto, CA 95356-0690 | 2019-02-07 |
| 1265997936 | Shanda Angioli | Psychologist | 4640 Cass St # 90422, San Diego, CA 92109-2804 | 2019-02-06 |
| 1841755626 | Brianna Marie Alcantar | Psychologist | 855 E Laurel Dr Bldg H, Salinas, CA 93905-1300 | 2019-02-05 |
| 1316423692 | Millie Georganna Herrera | Psychologist | 4001 State Higheay 104, Ione, CA 95640 | 2018-07-19 |
| 1003308446 | Kiara Dixon | Psychologist | 15501 San Pablo Ave # G-317, Richmond, CA 94806-5848 | 2018-06-01 |
| 1700322633 | Lindsay Heber | Psychologist | 28204 Picadilly Pl, Castaic, CA 91384-3830 | 2017-01-17 |
| 1295193738 | Schuyler Weifu Liao | Psychologist | 2576 W San Ramon Ave, Fresno, CA 93711-2749 | 2016-01-28 |
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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.