DR. THOMAS E. SULLIVAN (NPI# 1316912421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316912421 |
| Entity Type | Individual |
| Full Name | DR. THOMAS E. SULLIVAN |
| Credential | PH.D. |
| Practice Address |
2810 Mack Rd Fairfield OH 45014-5130 |
| Practice Telephone | 5138744530 |
| Practice Fax Number | 5133463811 |
| Mailing Telephone | 5138744530 |
| Mailing Fax Number | 5133463811 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103G00000X | Clinical Neuropsychologist | 5083 | OH | Behavioral Health & Social Service Providers |
| X | 103T00000X | Psychologist | 5083 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM ID# | 000000066833 | 01 |
| OH | VALUE OPTIONS PROVIDER ID | 257968 | 01 |
| OH | VALUE OPTIONS VIN | A294802 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487203386 | Thomas Carson Bruyer Sullivan | Physical Therapist | Bst Granite Falls, 345 10th Avenue, Granite Falls, MN 56241 | 2019-09-04 |
| 1992156426 | Thomas Patrick Sullivan | Counselor | 5 Prentiss Pl, Medfield, MA 02052-1652 | 2016-06-27 |
| 1437565488 | Thomas Barrett Sullivan | Orthopaedic Surgery | 1611 W Harrison St Ste 201, Chicago, IL 60612-4861 | 2014-07-09 |
| 1508104373 | Thomas Sullivan | Psychiatry & Neurology | 16321 Mack Ave, Detroit, MI 48224-2756 | 2013-01-29 |
| 1003033283 | Thomas Edward Sullivan | Dentist | 1200 High Ridge Parkway, Westchester, IL 60154 | 2007-04-19 |
| 1215064050 | Thomas Edward Sullivan | Pharmacist | 1010 S. Ponce Deleon Blvd, Winn-dixie Pharmacy, St Augustine, FL 32084 | 2007-02-28 |
| 1447391222 | Thomas Paul Sullivan | Counselor | 6 Cedarview Rd, Ipswich, MA 01938-1604 | 2007-02-12 |
| 1871630111 | Thomas E Sullivan | Internal Medicine | 6 Brackenbury Ln, Beverly, MA 01915-3822 | 2007-01-30 |
| 1548379233 | Thomas S Sullivan | Chiropractor | 481 Ferry St, Malden, MA 02148-7851 | 2006-08-29 |
| 1780691253 | Thomas Ryan Sullivan | Chiropractor | 7106 Pippin Rd, Cincinnati, OH 45239 | 2006-08-01 |
| Street Address |
2810 MACK RD |
| City | FAIRFIELD |
| State | OH |
| Zip Code | 45014-5130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801861372 | Joeanne Gutzwiller | Psychologist | 2810 Mack Rd, Fairfield, OH 45014-5130 | 2006-02-20 |
| 1750818225 | C Crystal Psych | Psychologist | 2810 Mack Rd, Fairfield, OH 45014-5130 | 2017-05-16 |
| 1558805713 | Rachel M Sparn LLC | Clinic/Center | 2810 Mack Rd, Fairfield, OH 45014-5130 | 2016-12-07 |
| 1114378890 | Robyn Lynn Coleman | Psychologist | 2810 Mack Rd, Fairfield, OH 45014-5130 | 2016-06-24 |
| 1619942638 | Linda Hartmann | Clinical Neuropsychologist | 2810 Mack Rd, Fairfield, OH 45014-5130 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326526872 | Megan Coleen Hamill | Registered Nurse | 6570 Sosna Drive, Fairfield, OH 45014 | 2018-08-06 |
| 1831695642 | James Grant Walther | Contractor | 16408 Jeanie Drive, Aurora, IN 45014 | 2018-04-02 |
| 1104339837 | Tamara Rochester | Registered Nurse | 5474 Yellowstone Dr, Fairfield, OH 45014 | 2017-11-16 |
| 1104335892 | Barbara Johnson | Registered Nurse | 2853 Saturn Drive, Fairfield, OH 45014 | 2017-09-25 |
| 1205373537 | Samuel E Ghee IIi | Counselor | Decoach Rehabilitation Center, 6570 Sosna Drive, Fairfield, OH 45014 | 2017-01-25 |
| 1669916789 | Lacretia Ancona | In Home Supportive Care | 700 Wessel Dr #181505, Fairfield, OH 45014 | 2016-12-08 |
| 1134676299 | Lynne Mutuku | Licensed Practical Nurse | 3975 Woodridge Blvd, Apt 10, Fairfield, OH 45014 | 2016-09-07 |
| 1104291020 | Mimi Supportive Hands .llc | Home Health | 6 Ridge Dr Apt 203, Cincinnati, OH 45014 | 2015-12-03 |
| 1215319181 | Brittany Beck | Social Worker | 3050 Mack Rd Ste 205, Fairfield, OH 45014 | 2015-06-26 |
| 1093193278 | Ashli Tanner | Specialist/Technologist | 8790 N. Gilmore Rd., Fairfield, OH 45014 | 2015-05-08 |
| Find all providers in zip 45014 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730688920 | Fairfield Neuropsychology LLC | Clinical Neuropsychologist | 60 Thorpe St Fl 2, Fairfield, CT 06824-5725 | 2018-02-02 |
| 1952671950 | Michelle Elena Stack | Clinical Neuropsychologist | 75 Kings Highway Cutoff, Fairfield, CT 06824-5340 | 2012-01-06 |
| 1518925262 | Kimi Carson | Clinical Neuropsychologist | 75 Kings Highway Cutoff, 5th Floor, Fairfield, CT 06824-5340 | 2006-05-03 |
| 1619942638 | Linda Hartmann | Clinical Neuropsychologist | 2810 Mack Rd, Fairfield, OH 45014-5130 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689283657 | Kathleen Elizabeth Hassara | Clinical Neuropsychologist | 215 W Bowery St Fl 4, Akron, OH 44308-1069 | 2020-07-27 |
| 1467970111 | Chelsea Kalynn Meng | Clinical Neuropsychologist | 8180 Brecksville Rd # 115, Brecksville, OH 44141 | 2017-09-01 |
| 1992243851 | James R. Pontau Jr. | Clinical Neuropsychologist | 9826 E. Washington St, Chagrin Falls, OH 44023-5486 | 2017-02-10 |
| 1780072561 | Jessica A Macdonald | Clinical Neuropsychologist | 8000 5 Mile Rd Ste 330, Cincinnati, OH 45230 | 2015-01-02 |
| 1902185796 | Melissa Swanson | Clinical Neuropsychologist | 7080 Quail Lakes Dr, Holland, OH 43528-9389 | 2011-08-10 |
| 1285959841 | Robin Gofberg | Clinical Neuropsychologist | 109 N Broad St, Suite 301, Lancaster, OH 43130-3738 | 2010-04-07 |
| 1235367285 | Karen Lynn Paull | Clinical Neuropsychologist | 29425 Chagrin Blvd., Suite 301, Pepper Pike, OH 44122 | 2009-06-29 |
| 1851525604 | Joshua Magleby | Clinical Neuropsychologist | 3094 W Market St Ste 220, Fairlawn, OH 44333-3624 | 2009-05-07 |
| 1902056575 | Jennifer J Whatley | Clinical Neuropsychologist | 6008 Aberfeldy Ct, Westerville, OH 43082-8344 | 2008-09-19 |
| 1376707240 | James Mitchell Buccigross | Clinical Neuropsychologist | 4450 Belden Village St Nw Ste 211, Canton, OH 44718-2596 | 2008-07-10 |
| Find all providers with the same taxonomy | ||||
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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.