MRS. JACLYN JOANN SULLIVAN (NPI# 1285985325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285985325 |
| Entity Type | Individual |
| Full Name | MRS. JACLYN JOANN SULLIVAN |
| Credential | MA, LMFT |
| Practice Address |
191 Broadway Amityville NY 11701-2790 |
| Mailing Address |
1024 N Hamilton Ave Lindenhurst NY 11757-2129 |
| Practice Telephone | 5166621158 |
| Mailing Telephone | 5166621158 |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2015-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700432424 | Jaclyn Ann Sullivan | Speech-Language Pathologist | 17833 Harlem Ave, Tinley Park, IL 60477-3605 | 2019-08-18 |
| 1235338377 | Jaclyn Kaye Sullivan | Physical Therapist | 401 W 2nd St, Sioux Falls, SD 57104-2313 | 2007-07-17 |
| Street Address |
191 BROADWAY |
| City | AMITYVILLE |
| State | NY |
| Zip Code | 11701-2790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255321741 | Carolyn Jeanne Farella | Social Worker | 191 Broadway, Amityville, NY 11701-2790 | 2005-10-26 |
| 1841750890 | Dani M Cleary | Social Worker | 191 Broadway, Amityville, NY 11701-2790 | 2019-03-24 |
| 1619448115 | Gold Coast Mental Health Counseling | Clinic/Center | 191 Broadway, Amityville, NY 11701-2790 | 2018-12-09 |
| 1831606599 | Megan Morrison | Counselor | 191 Broadway, Amityville, NY 11701-2790 | 2018-01-03 |
| 1720436199 | Stacey Katz | Counselor | 191 Broadway, Amityville, NY 11701-2790 | 2016-05-26 |
| 1992112510 | South Bay Counseling, Lcsw PC | Social Worker | 191 Broadway, Amityville, NY 11701-2790 | 2014-07-15 |
| 1528481595 | Lauren Kolonoskie | Social Worker | 191 Broadway, Amityville, NY 11701-2790 | 2014-01-28 |
| 1801135470 | Victoria Morabito | Counselor | 191 Broadway, Amityville, NY 11701-2790 | 2013-02-02 |
| 1407105844 | Linsey K Harrison | Social Worker | 191 Broadway, Amityville, NY 11701-2790 | 2012-08-30 |
| 1760744981 | Kelly Ann Flynn | Counselor | 191 Broadway, Amityville, NY 11701-2790 | 2012-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013427400 | Katya Cabrera | Licensed Practical Nurse | 8 Coolidge Ave, North Amityville, NY 11701 | 2017-10-11 |
| 1750800405 | Laura M Sabatino-jan | Nurse Practitioner | 65 S. Emerson Avenue, Amity Harbor, NY 11701 | 2017-09-13 |
| 1104355536 | Massapequa Center LLC | Skilled Nursing Facility | 101 Louden Ave., Amityville, NY 11701 | 2017-06-08 |
| 1588193874 | Allison Herzog | Specialist | 41 Terry Avenue, Amityville, NY 11701 | 2017-06-08 |
| 1962949677 | Sherlin Golbari | Physician Assistant | 317 Broadway Suite A, Amytyville, NY 11701 | 2017-01-20 |
| 1598129710 | Yoko Shiraiwa | Nurse Practitioner | 78 Ocean Avenue, Amityville, NY 11701 | 2016-04-13 |
| 1891158820 | Grace Ann Budde | Health Educator | 30 S Ireland Pl, Amityville, NY 11701 | 2016-03-29 |
| 1720445497 | Sabrina A Rahman | Pharmacist | 355 A Broadway, Amityville, NY 11701 | 2016-01-26 |
| 1902245335 | Darlene Marie Mccurty | Specialist | 125 Larsen Dr, Amityville, NY 11701 | 2013-06-19 |
| 1457613507 | Edria Parks | Specialist | 14 Wanser Pl, Amityville, NY 11701 | 2012-06-14 |
| Find all providers in zip 11701 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346767936 | Ariana Lombardo | Marriage & Family Therapist | 120 Broadway, Amityville, NY 11701-2762 | 2017-08-24 |
| 1033408992 | Jaime Marie D'avanzo | Marriage & Family Therapist | 37 John St, Amityville, NY 11701-2930 | 2011-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649146 | Cosmic Psych-medx | Marriage & Family Therapist | 2065 E 54th St Apt 2, Brooklyn, NY 11234-4750 | 2020-11-06 |
| 1093316309 | Jessica Janik | Marriage & Family Therapist | 625 Panorama Trl Ste 220, Rochester, NY 14625-2432 | 2020-11-03 |
| 1528666054 | Esther Mann | Marriage & Family Therapist | 1226 W Broadway # L-2, Hewlett, NY 11557-1923 | 2020-10-16 |
| 1205434883 | Rachel Davies | Marriage & Family Therapist | 8641 Cobalt Dr, Cicero, NY 13039-8943 | 2020-10-15 |
| 1669079935 | Tiffany Sheppard | Marriage & Family Therapist | 1057 Boynton Ave Apt 2a, Bronx, NY 10472-5761 | 2020-10-08 |
| 1528665205 | Aurela Gjura | Marriage & Family Therapist | 432 E 149th St Fl 3, Bronx, NY 10455-1343 | 2020-10-06 |
| 1326645920 | Oksana Isakharov | Marriage & Family Therapist | Remote Telehealth Due To Pandemic, Remote Telehealth Due To Pandemic, NY 11040 | 2020-10-06 |
| 1265039168 | Christina Berdebes | Marriage & Family Therapist | 11123 76th Rd Apt C5, Forest Hills, NY 11375-6434 | 2020-10-04 |
| 1144827122 | Rachel Kinsella | Marriage & Family Therapist | 141 W 26th St Apt 4b, New York, NY 10001-6800 | 2020-10-03 |
| 1720695554 | Katie Lynn Helpley Marriage & Family Therapist Pllc | Marriage & Family Therapist | 550 Stony Brook Ct Ste 3, Newburgh, NY 12550-6557 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
| City | AMITYVILLE |
| Zip Code | 11701 |
Please comment or provide details below to improve the information on MRS. JACLYN JOANN 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.