AMY JEAN SULLIVAN (NPI# 1427344167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427344167 |
| Entity Type | Individual |
| Full Name | AMY JEAN SULLIVAN |
| Other Name | AMY SULLIVAN |
| Practice Address |
139 Cornell St Kingston NY 12401-3633 |
| Mailing Address |
17 Bosco Dr Jacksonville NC 28540-3727 |
| Practice Telephone | 8453381234 |
| Practice Fax Number | 8453386284 |
| Mailing Telephone | 8455321936 |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2020-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | 082906-1 | NY | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
C009781 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 17 Bosco Dr, Jacksonville, NC 285403727 | 8455321936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609057298 | Amy L Sullivan | Dietitian, Registered | 4905 Havana Dr, Pittsburgh, PA 15239-2401 | 2007-11-24 |
| 1922028166 | Amy E Sullivan | Obstetrics & Gynecology | University of Utah Hospital Clinics Dept of Ob/gyn, 50 North Medical Drive, Salt Lake City, UT 84132-0001 | 2006-07-20 |
| 1275145369 | Amy Sullivan | Nurse Practitioner | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2020-08-19 |
| 1396389813 | Amy Sullivan | Speech-Language Pathologist | 811 Keylon St, Manchester, TN 37355-2413 | 2019-10-29 |
| 1063990380 | Amy Sullivan | Speech-Language Pathologist | 1326 Church St, Zachary, LA 70791-2743 | 2018-07-30 |
| 1801328596 | Amy Lynn Sullivan | Speech-Language Pathologist | 4050 Avon Rd, Geneseo, NY 14454-9721 | 2017-03-31 |
| 1124488796 | Amy E Sullivan | Physical Therapist | 41 Sanderson Road, Suite 101, Smithfield, RI 02917-2611 | 2016-02-25 |
| 1417328915 | Amy Sullivan | Counselor | 705 Washington St, Ravenswood, WV 26164-1729 | 2015-10-10 |
| 1053735639 | Amy Sullivan | Nurse Practitioner | 5830 Highway 5, Cabot, AR 72023-7328 | 2014-02-18 |
| 1124450721 | Amy Beth Sullivan | Case Manager/Care Coordinator | 1250 Kirts Blvd Ste 300, Troy, MI 48084-4855 | 2013-08-06 |
| Street Address |
139 CORNELL ST |
| City | KINGSTON |
| State | NY |
| Zip Code | 12401-3633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134164072 | Safieh Ghods-kash | Psychologist | 139 Cornell St, Kingston, NY 12401-3633 | 2006-06-17 |
| 1235769050 | Sara Garnot | Social Worker | 139 Cornell St, Kingston, NY 12401-3633 | 2020-01-21 |
| 1043773583 | Amanda R. Prewitt | Social Worker | 139 Cornell St, Kingston, NY 12401-3633 | 2019-04-11 |
| 1134681133 | Samuel Washington | Counselor | 139 Cornell St, Kingston, NY 12401-3633 | 2019-04-01 |
| 1306303987 | Erin Koonz | Counselor | 139 Cornell St, Kingston, NY 12401-3640 | 2019-03-01 |
| 1447724356 | Charlee Degeorge | Counselor | 139 Cornell St, Kingston, NY 12401-3633 | 2019-01-14 |
| 1255814539 | Rachael Ann Spinner | Counselor | 139 Cornell St, Kingston, NY 12401 | 2018-09-12 |
| 1750835203 | Alissa Debaun | Counselor | 139 Cornell St, Kingston, NY 12401-3633 | 2016-08-12 |
| 1548610124 | Tara O'connor | Counselor | 139 Cornell St, Kingston, NY 12401-3633 | 2016-06-15 |
| 1619338860 | Jennaleigh Fish | Counselor | 139 Cornell St, Kingston, NY 12401-3633 | 2016-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215565783 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue--breast Depart., Kingston, NY 12401 | 2020-03-31 |
| 1306474879 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue --surg. Onc. Dept, Kingston, NY 12401 | 2020-03-31 |
| 1811523384 | Health Quest Medcial Practice, PC | Podiatrist | The Center for Wound Healing, 670 Stoneleigh Avenue, Carmel, NY 12401 | 2020-03-17 |
| 1013552181 | Health Quest Medical Practice, PC | Emergency Medicine | 1240 Ulster Avenue, Kingston, NY 12401 | 2019-11-13 |
| 1073156808 | Vala Conklin | Hearing Instrument Specialist | Beltone, 10 Westbrook Lane, Kingston, NY 12401 | 2019-10-24 |
| 1306304860 | Laura Juliane Isele | Dietitian, Registered | 521 Boices Lane Taconic Ddso, Kingston, NY 12401 | 2019-03-04 |
| 1104345107 | Shiv Ramlochan | Licensed Practical Nurse | 1 Family Drive, Kingston, NY 12401 | 2017-09-12 |
| 1346776333 | Sara Bockelmann | Licensed Practical Nurse | 616 Kiersted Ave, Kingston, NY 12401 | 2017-05-11 |
| 1093265472 | Janelle Haylett | Pathology | 121 Rondout Drive, Q, Kingston, NY 12401 | 2016-10-10 |
| 1669830873 | Julie Brady | Counselor | 154 Fair Street #2, Kingston, NY 12401 | 2016-02-02 |
| Find all providers in zip 12401 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457976441 | Donati Counseling, Inc. | Counselor | 40 Nobadeer Cir, Kingston, MA 02364-3306 | 2020-06-15 |
| 1851924518 | Lisa A Mannino | Counselor | 21 Green St Apt 2, Kingston, NY 12401-4503 | 2020-02-20 |
| 1588131007 | Katelyn Gill | Counselor | 357 W Oreilly St Apt 1308, Kingston, NY 12401-5731 | 2018-11-02 |
| 1902395189 | Nancy E Lecuyer | Counselor | 28 Harvest Dr, Kingston, MA 02364-1823 | 2018-05-03 |
| 1194212670 | Shaun Cohen | Counselor | 79 Saint James St Fl 2, Kingston, NY 12401-4513 | 2018-04-19 |
| 1912420134 | Stephanie Kristal | Counselor | 275 Fair St Ste 30, Kingston, NY 12401-3882 | 2017-07-19 |
| 1447798442 | Michael Thacker | Counselor | 15 Meeks Rd, Kingston, NH 03848-3517 | 2017-02-09 |
| 1487000410 | Alexander Drakontaidis | Counselor | 30 Wilson Ave, Kingston, NY 12401-2110 | 2016-05-09 |
| 1669830873 | Julie Brady | Counselor | 154 Fair Street #2, Kingston, NY 12401 | 2016-02-02 |
| 1841656600 | Michele Abdul-qawiy | Counselor | 486 Youngs Mill Rd, Kingston, GA 30145-1864 | 2016-01-11 |
| Find all providers in KINGSTON | ||||
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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.