DR. MARY P SULLIVAN (NPI# 1184939100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184939100 |
| Entity Type | Individual |
| Full Name | DR. MARY P SULLIVAN |
| Credential | PSYD |
| Practice Address |
79-1020 Haukapila St Kealakekua HI 96750-7922 |
| Practice Telephone | 8089366746 |
| Mailing Telephone | 8089366746 |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2010-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY1190 | HI | 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 |
79-1020 HAUKAPILA ST |
| City | KEALAKEKUA |
| State | HI |
| Zip Code | 96750-7922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740342419 | Gretchen S. Wigton | Social Worker | 79-1020 Haukapila St, Kealakekua, HI 96750-7922 | 2006-12-15 |
| 1801226105 | Elizabeth Carroll | Counselor | 79-1020 Haukapila St, Kealakekua, HI 96750-7922 | 2013-11-22 |
| 1780972117 | Thomas Dell Johnston | Registered Nurse | 79-1020 Haukapila St, Kealakekua, HI 96750-7922 | 2011-07-19 |
| 1578730826 | Katherine Florer | Case Manager/Care Coordinator | 79-1020 Haukapila St, Kealakekua, HI 96750-7922 | 2008-05-14 |
| 1467629725 | Paulla Demello-o'bannon | Case Manager/Care Coordinator | 79-1020 Haukapila St, Kealakekua, HI 96750-7922 | 2008-05-14 |
| 1639346992 | Cy Yoshimura | Case Manager/Care Coordinator | 79-1020 Haukapila St, Kealakekua, HI 96750-7922 | 2008-05-14 |
| 1720261613 | State of Hawaii Department of Health | Community/Behavioral Health | 79-1020 Haukapila St, Kealakekua, HI 96750 | 2007-12-13 |
| 1164556783 | Annette Keliikoa | Case Manager/Care Coordinator | 79-1020 Haukapila St, Kealakekua, HI 96750-7922 | 2007-03-15 |
| 1457485021 | Tracey Dawson | Case Manager/Care Coordinator | 79-1020 Haukapila St, Kealakekua, HI 96750-7922 | 2007-03-15 |
| 1912035460 | Pamela A. Soteros | Case Manager/Care Coordinator | 79-1020 Haukapila St, Kealakekua, HI 96750-7922 | 2007-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629690300 | Sangeetha Nair | Marriage & Family Therapist | 81-6327 Mamalahoa Hwy, Crow's Nest, Kealakekua, HI 96750 | 2020-05-15 |
| 1790313351 | Julia Ok Jeoung | Licensed Practical Nurse | 81-6587 Mamalahoa Hwy C301, Kealakekua, HI 96750 | 2020-03-30 |
| 1588209134 | James M Nagao | Dentist | 81-904 Halekii Street, Kealakekua, HI 96750 | 2019-11-07 |
| 1255975249 | Affordable Care LLC | Home Health | 79-7393 Mamalahoa Hwy., Kealakekua, HI 96750 | 2019-11-01 |
| 1275174708 | Kelsi Nishina | Dietitian, Registered | 81-891 Manawa St, Kealakekua, HI 96750 | 2019-10-06 |
| 1245718311 | Star Pt LLC | Clinic/Center | 81-6264 Mamalahoa Hwy, Kealakekua, HI 96750 | 2018-08-01 |
| 1043701089 | Yaser Alsaadi | Clinic/Center | 81-990 Halekii St., Suite 7, Kealakekua, HI 96750 | 2018-05-25 |
| 1679094411 | Felicisima Miguel Saito | Home Health Aide | 81-1018 Meleana Place, Kealakekua, HI 96750 | 2017-07-02 |
| 1023551017 | Alsen Saito | Residential Treatment Facility, Physical Disabilities | 81-1018 Meleana Pl, Kealakekua, HI 96750 | 2016-11-23 |
| 1225480809 | Emilio Roberto Hernandez | Dentist | 81-990 Halekii Street, Suite 7, Kealakekua, HI 96750 | 2016-07-07 |
| Find all providers in zip 96750 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265445795 | John A Hibscher | Psychologist | 81-6654 Adelka Pl, Kealakekua, HI 96750-8173 | 2006-08-14 |
| 1245265412 | Terry Ann T Fujioka | Psychologist | 79-7460 Mamalahoa Hwy, Suite 110, Kealakekua, HI 96750-7917 | 2006-07-12 |
| 1215982616 | Jeffrey Winston Cumes | Psychologist | 81-6587 Mamalahoa Hwy, Bldg C #23, Kealakekua, HI 96750-8133 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992319008 | Rachel Huxel | Psychologist | 1821 Keeaumoku St Apt 201, Honolulu, HI 96822-3005 | 2020-09-04 |
| 1386256626 | Gabriela Cretu Cretu | Psychologist | 3820 Pukalani Pl, Honolulu, HI 96816-3816 | 2020-08-18 |
| 1811512635 | Waves of Insight, LLC | Psychologist | 98-402 Koauka Loop Apt 1404, Aiea, HI 96701-4573 | 2020-06-09 |
| 1710511100 | Lighthouse Therapy & Diagnostic Services | Psychologist | 2509 Kolo Road, Kilauea, HI 96754 | 2020-02-25 |
| 1811546435 | Tami Babino | Psychologist | 95-1249 Meheula Pkwy Ste 195, Mililani, HI 96789-1791 | 2019-09-06 |
| 1477119899 | Patrick Akira Jichaku | Psychologist | 58-129 Wehiwa Way, Haleiwa, HI 96712-9757 | 2019-05-10 |
| 1427513563 | Hannah Im | Psychologist | 377 Keahole St Ste 210, Honolulu, HI 96825-3405 | 2019-02-03 |
| 1427521897 | Amithea Love | Psychologist | 2037 Puu Kaa St, Kapaa, HI 96746-2339 | 2019-01-08 |
| 1699244509 | Jon Joseph Cisneros | Psychologist | 333 Sixth St, Lanai City, HI 96763 | 2018-11-20 |
| 1447729629 | Caitlin J. Tyrrell | Psychologist | 47-668 Hui Kelu St Apt 5, Kaneohe, HI 96744-4626 | 2018-11-17 |
| Find all providers with the same taxonomy | ||||
| City | KEALAKEKUA |
| Zip Code | 96750 |
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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.