DR. VIRGINIA MARY SULLIVAN (NPI# 1235335803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235335803 |
| Entity Type | Individual |
| Full Name | DR. VIRGINIA MARY SULLIVAN |
| Credential | PHD |
| Practice Address |
2055 Kellogg Ave Corona CA 92879-3111 |
| Mailing Address |
387 Magnolia Ave Ste 103-406 Corona CA 92879-3307 |
| Practice Telephone | 9518987171 |
| Mailing Telephone | 9515182312 |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103T00000X | Psychologist | 12546 | CA | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | 17121 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417273269 | Virginia Sullivan | Counselor | 600 S Preston St, Louisville, KY 40202-1716 | 2010-04-19 |
| 1013199801 | Virginia Sullivan | Registered Nurse | Psc 827, Box 1000, Fpo, AE 09617 | 2007-12-04 |
| 1992734222 | Virginia Sullivan | Advanced Practice Midwife | 95 Scovill St, 3rd Floor, Waterbury, CT 06706-1113 | 2006-06-30 |
| 1558327098 | Virginia Sullivan | Nurse Practitioner | 55 Whitcher St Ne, Suite 350, Marietta, GA 30060-1155 | 2006-04-25 |
| Street Address |
2055 KELLOGG AVE |
| City | CORONA |
| State | CA |
| Zip Code | 92879-3111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013999218 | Pushan Chowdhury | Pediatrics | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2005-11-15 |
| 1316429384 | Juan Carlos Palacios | Respiratory Therapist, Registered | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2018-09-05 |
| 1124500103 | Michael Paul Gordon | Respiratory Therapist, Registered | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2018-09-05 |
| 1437631405 | Clorinda Gloria Benavidez | Respiratory Therapist, Registered | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2018-09-05 |
| 1699214197 | Mark Sabillo | Pharmacist | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2017-02-16 |
| 1255879326 | Kathleen Varisco | Pharmacist | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2017-02-08 |
| 1750829297 | Rina Williams | Pharmacist | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2017-02-04 |
| 1447647326 | Andrew Dornan | Psychiatry & Neurology | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2015-04-18 |
| 1093108334 | Stephanie Winters | Social Worker | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2015-03-11 |
| 1982007969 | Michelle Wendel | Marriage & Family Therapist | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2014-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475722 | Tahmea Henderson | Behavior Technician | 225 Rincon St. #219, Corona, CA 92879 | 2020-10-20 |
| 1669084828 | Kimberly O Harris | Behavioral Analyst | 225 E. Rincon St., Suite 219, Corona, CA 92879 | 2020-08-19 |
| 1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
| 1841659117 | Sleep & Cpap Center Inc | Clinical Medical Laboratory | 800 Magnolia Avenue, Suite 101, Corona, CA 92879 | 2016-02-16 |
| 1497151203 | Rafik Riad | Dentist | 817 Villa Montes Cir., Corona, CA 92879 | 2014-11-06 |
| 1326441551 | Ying Zhang Howe | Acupuncturist | 720 Magnolia Ave. #b3, Corona, CA 92879 | 2014-10-02 |
| 1164823233 | Piyush Sakhareliya | Pharmacist | 2230 Treemont Pl, Apt#207, Corona, CA 92879 | 2014-09-09 |
| 1053711739 | Brandice Medical Associates Inc | Clinical Medical Laboratory | 13575 Jasper Loop, Corona, CA 92879 | 2014-08-29 |
| 1982956058 | Nja Therapy Services, Inc. | Day Training, Developmentally Disabled Services | 1655 E 6th St Suite 204, Corona, CA 92879 | 2012-10-12 |
| 1356616064 | Corona Surgical LLC | Clinic/Center | 2370 Anselmo Drive, Corona, CA 92879 | 2012-03-13 |
| Find all providers in zip 92879 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366004582 | Tracy Lee Guerrero-proctor | Psychologist | 2894 Mellor St, Corona, CA 92881-3585 | 2019-07-08 |
| 1659777381 | Esther Granados Ramos | Psychologist | 342 Bonnie Cir Ste A, Corona, CA 92880-6992 | 2014-11-06 |
| 1700015997 | Celine Marie Ko Roberson | Psychologist | 2250 Indigo Hills Dr, #3, Corona, CA 92879-7920 | 2009-07-08 |
| 1821123993 | Dr Pamela Downie & Associates, Inc | Psychologist | 1101 California Avenue, Suite 100, Corona, CA 92881 | 2007-02-22 |
| 1275688939 | Pamela Downie | Psychologist | 370 W Grand Blvd, Suite 106, Corona, CA 92882-2173 | 2007-01-24 |
| 1619046943 | Pamela Morrow Foley | Psychologist | 710 Rimpau Ave Ste 104, Corona, CA 92879 | 2006-11-08 |
| 1588275879 | Dena Dorfmeyer | Psychologist | 16756 Chino Corona Rd, Corona, CA 92880-9508 | 2020-08-11 |
| 1003331109 | Karen Elizabeth James | Psychologist | 16756 Chino Corona Rd, Corona, CA 92880-9508 | 2017-08-09 |
| 1588002182 | Araks Akopyan | Psychologist | 16756 Chino Corona Rd, Corona, CA 92880 | 2013-06-05 |
| 1760702385 | Paul Edward Lothrop | Psychologist | 16756 Chino Corona Rd, Corona, CA 92880-9508 | 2010-06-04 |
| Find all providers in CORONA | ||||
Please comment or provide details below to improve the information on DR. VIRGINIA MARY 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.