DR. MARK SCOTT SULLIVAN (NPI# 1437205747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437205747 |
| Entity Type | Individual |
| Full Name | DR. MARK SCOTT SULLIVAN |
| Credential | PHD |
| Practice Address |
6360 Jackson Rd Suite M Ann Arbor MI 48103-9597 |
| Practice Telephone | 7349300031 |
| Practice Fax Number | 7349300083 |
| Mailing Telephone | 7349300031 |
| Mailing Fax Number | 7349300083 |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301006105 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689730863 | Mark Allan Sullivan | Chiropractor | 4196 Avery Rd, Hilliard, OH 43026-1004 | 2006-12-29 |
| 1356456297 | Mark Tighe Sullivan | Social Worker | 1011 Bond St, Asbury Park, NJ 07712-5939 | 2006-08-20 |
| 1306874227 | Mark Allen Sullivan | Physical Therapist | 133 Mountain Rd, Suite 2b., Suffield, CT 06078-2084 | 2006-06-29 |
| 1497722615 | Mark F Sullivan Sr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11236 Robinwood Dr, # 7, Hagerstown, MD 21742-6708 | 2006-03-07 |
| 1710983432 | Mark P. Sullivan | Dentist | 1440 South Pottstown Pike, West Chester, PA 19380-1271 | 2005-06-27 |
| 1134752371 | Mark Sullivan | Nurse Anesthetist, Certified Registered | 2500 N State St, Jackson, MS 39216-4500 | 2020-02-17 |
| 1295260347 | Mark Sullivan | Case Manager/Care Coordinator | 1015 Lanton Rd, West Plains, MO 65775-3854 | 2017-04-26 |
| 1841724754 | Mark Sullivan | Social Worker | 2670 Durham Chapel Hill Blvd, Durham, NC 27707-2829 | 2017-04-18 |
| 1386098762 | Mark Sullivan | Psychiatry & Neurology | 525 E 68th St, New York, NY 10065-4870 | 2016-04-21 |
| 1346614641 | Mark Sullivan | Social Worker | 5225 Connecticut Ave Nw, #616, Washington, DC 20015-1813 | 2015-11-24 |
| Street Address |
6360 JACKSON RD SUITE M |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48103-9597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629055413 | Barbara Marie Hansen | Social Worker | 6360 Jackson Rd, Suite M, Ann Arbor, MI 48103-9597 | 2005-12-22 |
| 1538600697 | Wellness Roots Chiropractic & Nutrition Center Pllc | Chiropractor | 6360 Jackson Rd, Ste F, Ann Arbor, MI 48103 | 2017-03-09 |
| 1467991521 | Precision Dental PC | Dentist | 6360 Jackson Rd, Suite C, Ann Arbor, MI 48103-9597 | 2017-02-21 |
| 1235285487 | Sullivan, Nolan, Krone & Associates, P.C. | Psychologist | 6360 Jackson Rd, Suite M, Ann Arbor, MI 48103-9597 | 2007-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043839343 | Melissa Sylvia Danan Rilko | Social Worker | 1775 Timber Trail, Ann Arbor, MI 48103 | 2020-04-16 |
| 1427602929 | Ashwini Gulwadi, Pllc | Psychiatry & Neurology | 2100 S Main Street, Suite A, Unit 4, Ann Arbor, MI 48103 | 2019-08-01 |
| 1225593155 | Brent Aaron Reeve | Chiropractor | 203 S. Zeeb Rd., Suite 106, Ann Arbor, MI 48103 | 2019-02-05 |
| 1548746779 | Loren Camano Shkolnik | Registered Nurse | 3200 W Liberty Rd Ste C5, Ann Arbor, MI 48103 | 2018-07-11 |
| 1982193256 | Jacob B Nienhuis | Psychologist | 4488 Jackson Rd Ste 7b, Ann Arbor, MI 48103 | 2018-05-02 |
| 1053818633 | Regents of The University of Michigan | Eyewear Supplier (Equipment, not the service) | 380 Parkland Plz Ste 210, Ann Arbor, MI 48103 | 2018-04-10 |
| 1376052647 | Shivika Verma | Dentist | 3071 Signature Blvd, Apartment #f, Ann Arbor, MI 48103 | 2017-09-29 |
| 1881118206 | Harrison Udensi Igwe | Clinic/Center | 522 South Maple Stree, Ann Arbor, MI 48103 | 2017-07-27 |
| 1841727641 | Kathleen Murphy | Psychologist | 4141 Woodland Drive, Ann Arbor, MI 48103 | 2017-05-11 |
| 1972037133 | Jonathan Broek | Dietitian, Registered | 2920 Lakeview Dr, Ann Arbor, MI 48103 | 2017-04-14 |
| Find all providers in zip 48103 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700036 | Estela M Rivero | Psychologist | 2627 Oak Valley Dr Apt 205, Ann Arbor, MI 48103-7705 | 2020-11-04 |
| 1073112355 | Sarah Nicole Kesler | Psychologist | 230 Collingwood St Ste 250, Ann Arbor, MI 48103-3845 | 2020-10-19 |
| 1013556174 | Sandra K Kriegish | Psychologist | 2680 Lookout Cir, Ann Arbor, MI 48104-6652 | 2020-01-06 |
| 1730728718 | Alexander Jendrusina | Psychologist | Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-12-23 |
| 1144868456 | Beth Kafkakis Ma LLP LLC | Psychologist | 2010 Hogback Rd Ste 6d, Ann Arbor, MI 48105-8800 | 2019-12-17 |
| 1356814115 | Ian Gackowski | Psychologist | 120 E Liberty St Ste 300d, Ann Arbor, MI 48104-2163 | 2019-01-04 |
| 1538671250 | Miea Moon | Psychologist | 3200 E Eisenhower Parkway, Moriah Hall, Ann Arbor, MI 48108 | 2017-11-03 |
| 1992258560 | Frederick Warren Upton | Psychologist | 635 S Maple Rd # 2, Ann Arbor, MI 48103 | 2016-07-29 |
| 1003267329 | Junichi Shimaoka | Psychologist | 1316 Packard St Apt 2, Ann Arbor, MI 48104-3816 | 2016-06-28 |
| 1174988646 | Kristin Marie Rispoli | Psychologist | 300 N 5th Ave, Suite 210, Ann Arbor, MI 48104-5504 | 2015-12-28 |
| Find all providers in ANN ARBOR | ||||
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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.