DR. THERESA PAULETTE SULLIVAN (NPI# 1205055076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205055076 |
Entity Type | Individual |
Full Name | DR. THERESA PAULETTE SULLIVAN |
Credential | AUD |
Practice Address |
250 Tuytenbridge Rd Lake Katrine NY 12449-5429 |
Mailing Address |
513 Pine Rd Copake NY 12516-1109 |
Practice Telephone | 8453367235 |
Practice Fax Number | 8453364726 |
Mailing Telephone | 5183295761 |
Enumeration Date | 2007-04-24 |
Last Update Date | 2011-01-25 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 231H00000X | Audiologist | 001487 | NY | Speech, Language and Hearing Service Providers |
N | 235Z00000X | Speech-Language Pathologist | 001886 | NY | Speech, Language and Hearing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 00473001 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992339121 | Theresa Sullivan | Social Worker | 910 S Chapel St Ste 102, Newark, DE 19713-3468 | 2020-02-26 |
1003365222 | Theresa Sullivan | Counselor | 17720 Ne Halsey St Ste B, Portland, OR 97230-6771 | 2016-09-29 |
1447539655 | Theresa E Sullivan | Internal Medicine | 975 Port Washington Rd, Grafton, WI 53024 | 2011-08-05 |
1255500039 | Theresa Sullivan | Speech-Language Pathologist | 315 E Dunklin St, Jefferson City, MO 65101-3128 | 2008-02-26 |
1184826521 | Theresa Marie Sullivan | Counselor | 3995 Marcola Rd, Springfield, OR 97477-7948 | 2007-06-05 |
1063599009 | Theresa M. Sullivan | Clinical Nurse Specialist | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2006-11-01 |
1194734491 | Theresa K Sullivan | Physical Therapist | 7900 E Green Lake Dr N, Suite 204, Seattle, WA 98103-4800 | 2006-08-05 |
Street Address |
250 TUYTENBRIDGE RD |
City | LAKE KATRINE |
State | NY |
Zip Code | 12449-5429 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922167618 | United Cerebral Palsy of Ulster County Inc | Clinic/Center | 250 Tuytenbridge Rd, Lake Katrine, NY 12449-5429 | 2006-12-08 |
1871068551 | Megan Ashley Martiros | Occupational Therapy Assistant | 250 Tuytenbridge Rd, Lake Katrine, NY 12449-5429 | 2018-10-09 |
1801256185 | Nicole Laurita | Occupational Therapist | 250 Tuytenbridge Rd, Lake Katrine, NY 12449-5429 | 2016-03-01 |
1144686288 | Susan Mason | Speech-Language Pathologist | 250 Tuytenbridge Rd, Lake Katrine, NY 12449-5429 | 2016-01-05 |
1568836955 | Janice Walshe | Occupational Therapy Assistant | 250 Tuytenbridge Rd, Lake Katrine, NY 12449-5429 | 2015-11-23 |
1477958239 | Sarah Renee Hardy | Occupational Therapist | 250 Tuytenbridge Rd, Lake Katrine, NY 12449-5429 | 2014-10-22 |
1841609310 | Daniel Malpica | Physical Therapist | 250 Tuytenbridge Rd, Lake Katrine, NY 12449-5429 | 2014-08-08 |
1053621193 | Allison Danae Lewis | Occupational Therapy Assistant | 250 Tuytenbridge Rd, Lake Katrine, NY 12449-5429 | 2010-10-07 |
1477790632 | Myra K Siegel | Occupational Therapist | 250 Tuytenbridge Rd, Lake Katrine, NY 12449-5429 | 2009-01-09 |
1568684686 | Monique Lindsley Mowle | Occupational Therapist | 250 Tuytenbridge Rd, Lake Katrine, NY 12449-5429 | 2007-05-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841785318 | Shannon Maureen Stanton | Registered Nurse | 803 Grant Ane, Lake Katrine, NY 12449 | 2018-06-27 |
1780130591 | Willcare | Custodial Care Facility | 803 Grant Anenue, Lake Katrine, NY 12449 | 2016-08-31 |
1366786253 | Hudson Valley Hearing Aid Center Inc. | Hearing Instrument Specialist | 1996 Route 9 W, Lake Katrine, NY 12449 | 2012-11-16 |
1689957102 | Pearl Edith Graziano | Licensed Practical Nurse | 803 Grant Avenue, Kingston, NY 12449 | 2011-09-21 |
1861773418 | Michael Moscowitz | Surgery | 1561 Ulster Ave Fl 2, Lake Katrine, NY 12449 | 2011-09-08 |
1205147501 | Glen F. Pomerantz | Technician/Technologist | 1636 Ulster Ave., Lake Katrine, NY 12449 | 2010-07-01 |
1255584124 | Margarita Rose | Licensed Practical Nurse | 55 Leggs Mills Rd, Lake Katine, NY 12449 | 2008-10-23 |
1073560363 | Michael John Dolamore | Family Medicine | One Commons Drive, Ten Broeck Commons, Lake Katrine, NY 12449 | 2006-05-30 |
1689239337 | Kinneret Sussman | Physician Assistant | 1561 Route 9w, Lake Katrine, NY 12449 | 2019-05-08 |
1629489166 | Raisa Tsvaygenbaum | Podiatrist | 1561 Rte 9w, Lake Katrine, NY 12449 | 2014-05-19 |
Find all providers in zip 12449 |
Taxonomy Code | 231H00000X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Audiologist |
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831790765 | Vasilia Kalliopi Meskouris | Audiologist | 1019 Olympia Rd Fl 1, North Bellmore, NY 11710-1938 | 2020-11-06 |
1104427541 | Rachel Lynn Miller | Audiologist | 11 Montana Pl, Brooklyn, NY 11234-6912 | 2020-11-03 |
1255931309 | Ariel Monserrate | Audiologist | 445 Lenox Rd Ste J, Brooklyn, NY 11203-2017 | 2020-10-28 |
1770181398 | Nicole Ashley Delledonne | Audiologist | 17 Harness Ln, Levittown, NY 11756-1018 | 2020-10-15 |
1225644248 | Danilova Rufina Yakubov Audiology Hearing Professional Corporation | Audiologist | 156 William St Frnt 1, New York, NY 10038-2609 | 2020-09-16 |
1518571058 | Piera P D'armetta | Audiologist | 3601 Hempstead Tpke Ste 201, Levittown, NY 11756-1331 | 2020-09-02 |
1114530961 | Lambert Lee | Audiologist | 139 Centre St Ste 803, New York, NY 10013-4558 | 2020-08-30 |
1174136188 | Alexa Brody | Audiologist | 220 72nd St Apt A4, Brooklyn, NY 11209-2140 | 2020-08-28 |
1285246900 | Lindsay J Saltsman | Audiologist | 395 West St., Suite 301, Canandaigua, NY 14424-1789 | 2020-08-24 |
1982215240 | Sandra Josephine Mayer | Audiologist | 10 Mckown Rd Ste 200, Albany, NY 12203-3496 | 2020-08-11 |
Find all providers with the same taxonomy |
City | LAKE KATRINE |
Zip Code | 12449 |
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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.