SUSAN VICTORIA CULLEN (NPI# 1316139538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316139538 |
| Entity Type | Individual |
| Full Name | SUSAN VICTORIA CULLEN |
| Credential | LCPC |
| Practice Address |
5133 W 79th St 3e Burbank IL 60459-1557 |
| Practice Telephone | 7084253615 |
| Practice Fax Number | 7084253615 |
| Mailing Telephone | 7084253615 |
| Mailing Fax Number | 7084253615 |
| Enumeration Date | 2007-08-12 |
| Last Update Date | 2007-08-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083011761 | Susan Cullen | Speech-Language Pathologist | 50 S Rocky River Dr, # 602, Berea, OH 44017-2556 | 2014-11-25 |
| 1073802906 | Susan Cullen | Nurse Practitioner | 200 Retreat Ave, Hartford, CT 06109-4337 | 2011-03-31 |
| 1750532008 | Susan Cullen | Physical Therapist | 1000 Montauk Hwy, Good Samaritan Hospital, West Islip, NY 11795-4927 | 2008-10-06 |
| 1225057318 | Susan Irene Cullen | Clinical Nurse Specialist | 60 Hodges Ave Ext, Taunton Hospital, Taunton, MA 02780 | 2006-07-19 |
| Street Address |
5133 W 79TH ST 3E |
| City | BURBANK |
| State | IL |
| Zip Code | 60459-1557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619475852 | Albina Optometric | Optometrist | The Eye Care Center, Ltd, 8525 S Harlem Ave, Burbank, IL 60459 | 2018-01-23 |
| 1265943583 | Sara Christine De Van | Speech-Language Pathologist | 7600 South Mason Avenue, Burbank, IL 60459 | 2017-10-13 |
| 1710426465 | Nikki Negrete | Specialist/Technologist | 8520 S. Leclaire Ave., Burbank, IL 60459 | 2017-02-14 |
| 1700335734 | Sheefa Pharmacy Inc. | Pharmacy | 8519 S Harlem Avenue, Burbank, IL 60459 | 2016-10-03 |
| 1518325695 | Orthodontic Experts | Dentist | 7820 S. Cicero Ave, Burbank, IL 60459 | 2016-02-04 |
| 1528438306 | Lila Ayyad-alharsha | Behavioral Analyst | 6146 W. State Rd., Burbank, IL 60459 | 2015-10-06 |
| 1467852483 | Chicago Counseling & Training, Inc | Counselor | 4817 W. 83rd Street, Burbank Medical Center, Burbank, IL 60459 | 2014-08-27 |
| 1629344247 | Michael Joseph Fary | Optometrist | 7708 S Cicero Ave, Suite A5, Burbank, IL 60459 | 2012-03-28 |
| 1265732176 | Syeda Kulsoom Ali | Family Medicine | 4901 W 79th St Floor 2, Burbank, IL 60459 | 2010-10-26 |
| 1114119781 | Bonnes and Vasquez, P.C. | Social Worker | 13152 S. Cicero Ave, Pmb 260, Crestwood, IL 60459 | 2007-08-16 |
| Find all providers in zip 60459 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006215 | Anne Askerneese | Counselor | 354 W Lutge Ave, Burbank, CA 91506-3322 | 2020-09-03 |
| 1831692656 | William Keith Leavitt | Counselor | 1201 S Victory Blvd Ste 206, Burbank, CA 91502-2552 | 2018-03-18 |
| 1639682693 | Laura Panella Reeser | Counselor | 2211 W Magnolia Blvd Ste 145, Burbank, CA 91506-1753 | 2017-11-13 |
| 1053854679 | Crescent Orpelli | Counselor | 4405 W Riverside Dr Ste 209, Burbank, CA 91505-4050 | 2016-11-30 |
| 1164883039 | Robyn Nicole Kures | Counselor | 3808 W Riverside Dr Ste 400, Burbank, CA 91505-5301 | 2016-03-18 |
| 1467852483 | Chicago Counseling & Training, Inc | Counselor | 4817 W. 83rd Street, Burbank Medical Center, Burbank, IL 60459 | 2014-08-27 |
| 1295035905 | Jennifer Anne Evans | Counselor | 1108 N Hollywood Way, Burbank, CA 91505-2527 | 2010-10-27 |
| 1245560598 | Jeannette York | Counselor | 210 Pass Avenue, Suite 203, Burbank, CA 91505-4073 | 2010-01-09 |
| 1366640336 | Judith M Brooks | Counselor | 336 W Lutge Ave, Burbank, CA 91506-3322 | 2007-07-11 |
| 1003904038 | Zen Jordan Lewis | Counselor | 213 W Alameda Ave Ste 103, Burbank, CA 91502-3027 | 2006-10-11 |
| Find all providers in BURBANK | ||||
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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.