DR. BERNARD HARRELL SULLIVAN JR. (NPI# 1326282633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326282633 |
| Entity Type | Individual |
| Full Name | DR. BERNARD HARRELL SULLIVAN JR. |
| Credential | PHD |
| Practice Address |
203 N Hoffman St Dallas NC 28034-1525 |
| Practice Telephone | 7048134033 |
| Mailing Telephone | 7048134033 |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2019-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
102806 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS NC | 1817W | 01 |
| NC | 6001164 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982860003 | Bernard J Sullivan | Dentist | 12201 S Harlem Ave, Palos Heights, IL 60463-1474 | 2008-07-29 |
| 1528184306 | Bernard John Sullivan | Psychologist | 10540 Marty St Ste 155, Overland Park, KS 66212-2654 | 2007-03-22 |
| Street Address |
203 N HOFFMAN ST |
| City | DALLAS |
| State | NC |
| Zip Code | 28034-1525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467759548 | Nyayp Therapeutic Services | Counselor | 1012 Philadelpia Church Rd, Dallas, NC 28034 | 2011-02-25 |
| 1790090959 | Nyayp, LLC | Counselor | 1012 Philadelphia Church Road, Ste A, Dallas, NC 28034 | 2010-08-12 |
| 1952537359 | Vimal Patel | Pharmacist | 915 W. Trade Street, Dallas, NC 28034 | 2009-06-01 |
| 1730327305 | Ingles Markets Inc | Pharmacy | 715 W Trade St, Dallas, NC 28034 | 2009-02-04 |
| 1346365848 | Dallas Express Pharmacy | Durable Medical Equipment & Medical Supplies | 111 North Hoffman, Suite A, Dallas, NC 28034 | 2007-03-21 |
| 1679577027 | Joshua W Baker | Optometrist | 820 Lower Dallas Hwy, Dallas, NC 28034 | 2005-06-13 |
| 1518469204 | Daria Fowler | Counselor | 107 N Summey St, Dallas, NC 28034 | 2018-03-08 |
| 1295106011 | Tolulope Alokolaro | Pharmacist | 1300 Dallas Cherryville Hwy, Dallas, NC 28034 | 2015-10-20 |
| 1679690994 | Karen D Packer | Speech-Language Pathologist | 1906 Dallas Cherryville Hwy, Dallas, NC 28034-0899 | 2007-03-23 |
| 1144323833 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3126 Dallas High Shoals Hwy, Dallas, NC 28034-1306 | 2006-09-07 |
| Find all providers in zip 28034 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517267 | Hunter Boone Small | Psychologist | 5940 Forest Park Rd Apt 1100, Dallas, TX 75235-6444 | 2020-10-27 |
| 1144834268 | Jeffrey Baldridge | Psychologist | 8140 Walnut Hill Ln Ste 450, Dallas, TX 75231-4328 | 2020-09-04 |
| 1871104760 | Nicole Elizabeth Hooper | Psychologist | 1 Stonebriar Ct, Dallas, TX 75206-8812 | 2020-08-13 |
| 1992313522 | Aisha Iqbal | Psychologist | 5454 La Sierra Dr Ste 201, Dallas, TX 75231-2344 | 2020-07-20 |
| 1801430483 | Yaffa Podbilewicz-schuller | Psychologist | 6618 Elvedon Dr, Dallas, TX 75248-1324 | 2019-11-06 |
| 1578111993 | Anne Caroline Brasch | Psychologist | 6750 Hillcrest Plaza Dr Ste 206, Dallas, TX 75230-1438 | 2019-08-28 |
| 1215497672 | Tiffany Armstrong | Psychologist | 8350 N Central Expy Ste 1275, Dallas, TX 75206-1614 | 2019-03-21 |
| 1275001208 | Bryan Elliott Jester | Psychologist | 4100 Spring Valley Rd Ste 511, Dallas, TX 75244-3678 | 2018-11-07 |
| 1003398074 | Aaron Hands | Psychologist | 5646 Milton St Ste 740, Dallas, TX 75206 | 2018-09-05 |
| 1174001960 | Robert Butler Hampson | Psychologist | 5910 N. Central Expressway, Suite 1820, Dallas, TX 75206 | 2018-08-02 |
| Find all providers in DALLAS | ||||
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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.