SCOTT SULLIVAN (NPI# 1386143899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386143899 |
| Entity Type | Individual |
| Full Name | SCOTT SULLIVAN |
| Practice Address |
4455 Ne Highway 20 Corvallis OR 97330-9695 |
| Mailing Address |
3415 Se Powell Blvd Portland OR 97202-3371 |
| Practice Telephone | 5417585900 |
| Mailing Telephone | 5032349591 |
| Enumeration Date | 2018-02-10 |
| Last Update Date | 2018-02-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265950737 | Scott Jeffrey Sullivan | Dentist | 3516 S 47th St Ste 104, Tacoma, WA 98409-4427 | 2017-09-06 |
| 1477070522 | Scott Sullivan | Physical Therapist | 5320 Mark Dabling Blvd # 100, Colorado Springs, CO 80918-3839 | 2017-08-29 |
| 1063612844 | Scott Louis Sullivan | Dentist | 76 Doctors Park Dr., Santa Rosa, CA 95405-6615 | 2007-07-20 |
| 1154344000 | Scott Keith Sullivan Jr. | Surgery | 1717 Saint Charles Ave, New Orleans, LA 70130-5223 | 2006-07-25 |
| 1972134567 | Scott R Sullivan | Student in an Organized Health Care Education/Training Program | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2020-02-01 |
| 1770056608 | Scott Lamar Sullivan | Counselor | 7000b S Center Dr, Clearlake, CA 95422-8131 | 2019-01-03 |
| 1689100471 | Scott Sullivan | Student in an Organized Health Care Education/Training Program | 2390 W Congress St, Lafayette, LA 70506-4205 | 2017-05-11 |
| 1932467123 | Scott Sullivan | Student in an Organized Health Care Education/Training Program | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2012-04-25 |
| 1033496179 | Scott Patric Sullivan | Specialist/Technologist | 205 S Main St, Suite C, Longmont, CO 80501-1716 | 2011-11-03 |
| 1750440004 | Scott G Sullivan | Physician Assistant | 301 Andrews Avenue, (lyster Army Health Clinic), Fort Rucker, AL 36362-5000 | 2006-12-06 |
| Street Address |
4455 NE HIGHWAY 20 |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-9695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790884690 | Timothy Joseph Catlow | Psychologist | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2006-09-21 |
| 1609477561 | Brock Van Dyke | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-05 |
| 1518568476 | Julia Di Simone | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-05 |
| 1336740299 | Sabrina Michelle Watkins | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-05 |
| 1245831106 | Hope Trautman | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-05 |
| 1932700028 | Hayley Boss | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-04 |
| 1477154714 | Ashley Merback | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-03 |
| 1396346631 | Mikayla Alberta Calvery | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-03 |
| 1750982096 | Christine Turner | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-03 |
| 1831790179 | Madison Elysse Weekly | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1760972913 | Taylor James Johnson | Counselor | 4455 Ne Hwy 20, Corvallis, Or 97330, Corvallis, OR 97330 | 2018-05-14 |
| 1396147674 | Rafael Larios | Counselor | 4455 Ne Highway 20 Ste 203, Corvallis, OR 97330-9695 | 2014-09-18 |
| 1851732028 | Karen Jean Haag | Counselor | 230 Sw 3rd St Ste 309, Corvallis, OR 97333-4652 | 2013-07-16 |
| 1912254384 | Dian Seslar Svendsen | Counselor | 6735 Sw Country Club Dr Ste 101, River Crossing Art Therapy Counseling, Corvallis, OR 97333-1987 | 2012-08-05 |
| Find all providers in CORVALLIS | ||||
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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.