BRIAN KENNETH SULLIVAN (NPI# 1497923023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497923023 |
| Entity Type | Individual |
| Full Name | BRIAN KENNETH SULLIVAN |
| Credential | PSYD |
| Practice Address |
250 Mathis Ferry Rd Suite 101 Mt Pleasant SC 29464-2988 |
| Practice Telephone | 8439715171 |
| Practice Fax Number | 8439715178 |
| Mailing Telephone | 8439715171 |
| Mailing Fax Number | 8439715178 |
| Enumeration Date | 2008-02-17 |
| Last Update Date | 2008-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
622 | SC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972761252 | Brian Michael Sullivan | Family Medicine | 514 Americas Way, Apt 6347, Box Elder, SD 57719-7600 | 2008-05-23 |
| 1336282961 | Brian C Sullivan | Chiropractor | 142 Rantoul St, Beverly, MA 01915-4241 | 2007-02-14 |
| 1306947338 | Brian A Sullivan | Chiropractor | 101 Blossom Dr, Winchester, VA 22602-6100 | 2006-09-25 |
| 1174537120 | Brian Patrick Sullivan | Psychologist | 5170 Hwy 105 S, Suite 1, Banner Elk, NC 28604 | 2006-07-27 |
| 1770145401 | Brian Patrick Sullivan | Surgery | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2019-07-02 |
| 1659869550 | Brian Thomas Sullivan | Student in an Organized Health Care Education/Training Program | 601 N Caroline St # 5165, Baltimore, MD 21287-0006 | 2018-04-25 |
| 1316466956 | Brian H Sullivan | Community Health Worker | 140 Route 303, Valley Cottage, NY 10989-5906 | 2017-09-14 |
| 1699290106 | Brian Sullivan | Counselor | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2017-08-04 |
| 1831551654 | Brian Sullivan | Student in an Organized Health Care Education/Training Program | 5100 W Broad St, Columbus, OH 43228-1607 | 2016-03-22 |
| 1639558893 | Brian Sullivan | Social Worker | 301 Broadway, Chelsea, MA 02150-2807 | 2015-05-21 |
| Street Address |
250 MATHIS FERRY RD SUITE 101 |
| City | MT PLEASANT |
| State | SC |
| Zip Code | 29464-2988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417945171 | Patrick Scott Lovegrove | Family Medicine | 250 Mathis Ferry Rd, Ste 101, Mt Pleasant, SC 29464-2988 | 2005-10-07 |
| 1023475530 | Steidinger Health Solutions | Chiropractor | 250 Mathis Ferry Rd, #101 Suite A, Mt Pleasant, SC 29464-2988 | 2016-01-28 |
| 1124366604 | Elisabeth Malia Sherman | Acupuncturist | 250 Mathis Ferry Rd, Mt Pleasant, SC 29464-2988 | 2013-01-17 |
| 1396794871 | Alexander Davis Henderson | Psychologist | 250 Mathis Ferry Rd, Suite 101, Mt Pleasant, SC 29464-2979 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
| 1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
| 1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
| 1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
| 1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
| 1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
| 1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
| 1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
| 1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
| 1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
| Find all providers in zip 29464 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013407493 | Cassidy Clifford Arnold | Psychologist | 1459 Stuart Engals Blvd Ste 204-a, Mt Pleasant, SC 29464-3600 | 2018-05-11 |
| 1811269178 | Jeff Marcino | Psychologist | 474 Wando Park Blvd Ste 104, Mt Pleasant, SC 29464-7933 | 2012-02-02 |
| 1558593707 | Jeremy Adam Moeggenberg | Psychologist | 400 S University Ave, Mt Pleasant, MI 48858-3170 | 2009-08-20 |
| 1194904029 | Carolyn Van Cleave, Ed.d. PC | Psychologist | 901 Canal St, Mt Pleasant, MI 48858-3304 | 2007-10-27 |
| 1497944763 | Steven Adam Lifson | Psychologist | 304 W Michigan St, Suite 16, Mt Pleasant, MI 48858-2492 | 2007-10-23 |
| 1306049911 | Gabriela Eyal | Psychologist | 117 S University Ave, Mt Pleasant, MI 48858-2320 | 2007-06-09 |
| 1033246129 | Peter J Haddad | Psychologist | 1905 Evans St, Mt Pleasant, MI 48858-4459 | 2007-02-27 |
| 1508991613 | William Harris Porter | Psychologist | 307 W Monroe St, Mt Pleasant, IA 52641-2112 | 2007-02-22 |
| 1437210481 | Amy L Rhodes | Psychologist | 250 Mathis Ferry Rd Ste 101, Mt Pleasant, SC 29464-2988 | 2006-12-13 |
| 1437227279 | Valerie L Stephens PC | Psychologist | 110 N Kinney Avenue, Mt Pleasant, MI 48858 | 2006-12-01 |
| Find all providers in MT PLEASANT | ||||
| City | MT PLEASANT |
| Zip Code | 29464 |
Please comment or provide details below to improve the information on BRIAN KENNETH SULLIVAN.
| 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.