MICHAEL DAVID SULLIVAN (NPI# 1366918617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366918617 |
| Entity Type | Individual |
| Full Name | MICHAEL DAVID SULLIVAN |
| Practice Address |
403 1/2 Hector St Ithaca NY 14850-2025 |
| Practice Telephone | 7247041719 |
| Mailing Telephone | 7247041719 |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2019-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 087166 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376923292 | Michael Sullivan | Student in an Organized Health Care Education/Training Program | Walter Reed 8901 Rockville Pike, Bethesda, MD 20889-0001 | 2015-06-05 |
| 1881074896 | Michael Gregory Sullivan | Intermediate Care Facility, Mentally Retarded | 30 Hobomack Rd, Quincy, MA 02169-2508 | 2015-06-04 |
| 1104215136 | Michael Sullivan | Perfusionist | 137 Founders Way Ct, Cape Girardeau, MO 63701-9442 | 2015-01-14 |
| 1689927915 | Michael Robert Sullivan | Pharmacist | 41 Buena Vista St, Stamford, CT 06907-2402 | 2012-10-24 |
| 1154672038 | Michael James Sullivan | Dentist | 1882 Hard Rd, Columbus, OH 43235-1996 | 2012-10-02 |
| 1063791747 | Michael Gruer Sullivan | Counselor | 2024 N. Crystal Lake Dr., Suite 200 Room 205, Lakeland, FL 33801-6015 | 2011-08-11 |
| 1457647083 | Michael Patrick Sullivan | Dentist | 1008 G Sreet, Geneva, NE 68361 | 2011-06-22 |
| 1841528585 | Michael Andrew Sullivan | Counselor | 974 73rd St Ste 9, Windsor Heights, IA 50324-1026 | 2009-11-18 |
| 1508191388 | Michael Joseph Sullivan | Audiologist | 6644 Penn Ave S, Richfield, MN 55423-2026 | 2009-10-12 |
| 1588899066 | Michael Sullivan II | Physical Therapy Assistant | 617 Se 5th St, Delray Beach, FL 33483-5222 | 2009-05-27 |
| Street Address |
403 1/2 HECTOR ST |
| City | ITHACA |
| State | NY |
| Zip Code | 14850-2025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123897 | Michelle Lee Sanito | Registered Nurse | 400 Lake Street, Ithaca, NY 14850 | 2020-10-30 |
| 1457959843 | Summit Alternatives Lmsw PC | Community/Behavioral Health | 215 North Cayuga Street, 2nd Floor Business Complex, Ithaca, NY 14850 | 2020-10-16 |
| 1518581701 | Sameer Acharya | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency, Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-03 |
| 1699399873 | Anurag Aryal | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Internal Medicine Residency, Cayuga Med, Ithaca, NY 14850 | 2020-06-03 |
| 1932723228 | Binay Kumar Kshetree | Student in an Organized Health Care Education/Training Program | Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-02 |
| 1225657349 | Nima Hazrati Pour Fard | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Cayuga Medical Center, 101, Ithaca, NY 14850 | 2020-04-09 |
| 1326671090 | Garret Hoskey | Specialist/Technologist | 953 Dany Road, Ithaca, NY 14850 | 2020-02-20 |
| 1609407709 | En-ting Hsu | Marriage & Family Therapist | 110 N. Cayuga Street 4th Floor Suite 3, Ithaca, NY 14850 | 2020-01-28 |
| 1306491063 | Patrick Owen Mckeon | Specialist/Technologist | Hill Center G66, 953 South Danby Rd., Ithaca, NY 14850 | 2019-08-08 |
| 1538722343 | Priyesh Thakurathi | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Cayuga Medical Center, Internal Medicine Residency Program, Ithaca, NY 14850 | 2019-04-17 |
| Find all providers in zip 14850 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326669771 | Kimberly Capalongo | Social Worker | 317 Nelson Rd, Ithaca, NY 14850-9476 | 2020-04-27 |
| 1154794477 | Hannah Rumpf | Social Worker | 950 Danby Rd Ste 103a, Ithaca, NY 14850-5714 | 2015-11-09 |
| 1538595277 | Dalya Tamir | Social Worker | 4088 Garrett Rd, Ithaca, NY 14850-9563 | 2013-09-25 |
| 1003164047 | Deborah Karen Fisch-lewis | Social Worker | 101 Elmwood Ave, Ithaca, NY 14850-6146 | 2012-08-23 |
| 1194027581 | Michelle S Russo | Social Worker | 114 N Cayuga St, Ithaca, NY 14850-4331 | 2010-11-17 |
| 1255640272 | Jennifer Heatley | Social Worker | 110 E Upland Rd, C/o Cayuga Heights Elementary, Ithaca, NY 14850-2253 | 2010-09-27 |
| 1992961023 | Jessica Erin Massaro | Social Worker | Life Stages Counseling, 121 West Court Street, Suite 101, Ithaca, NY 14850 | 2008-07-29 |
| 1629268743 | Patricia Ann Baxter | Social Worker | 201 East Coreen St, Suite 500 Alcohol Drug Council of Tompkins Co, Ithaca, NY 14850 | 2007-07-25 |
| 1649210527 | Penny Henrietta Calderazzo | Social Worker | 516 Chestnut St, Ithaca, NY 14850-3015 | 2006-06-07 |
| 1770521155 | Shane Clinton Jaynes | Social Worker | 1481 Trumansburg Rd, Ithaca, NY 14850 | 2006-06-04 |
| Find all providers in ITHACA | ||||
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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.