DEBORAH L SULLIVAN


Address: 411 30th St, Oakland, CA 94609-3310
Phone: 5102734200

DEBORAH L SULLIVAN (NPI# 1518108794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518108794
Entity Type Individual
Full Name DEBORAH L SULLIVAN
Practice Address 411 30th St
Oakland
CA 94609-3310
Mailing Address 5674 Stoneridge Dr
Pleasanton
CA 94588-8500
Practice Telephone 5102734200
Enumeration Date 2009-03-17
Last Update Date 2009-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
500563 CA Nursing Service Providers

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1639419633 Deborah Sullivan Speech-Language Pathologist 10140 Sw Paulina Dr, Tualatin, OR 97062-8549 2013-02-27
1972649143 Deborah C. Sullivan Dentist 1200 U.S. Hwy 287 North, Suite 102, Mansfield, TX 76063 2007-01-29
1487643201 Deborah Ann Sullivan Genetic Counselor, MS 182 Colon Ave, Staten Island, NY 10308-1405 2005-10-14
1023018900 Deborah A Sullivan Nurse Practitioner 2139 N Academy Blvd, Colorado Springs, CO 80909-1507 2005-07-21
1730720327 Deborah Sheryl Sullivan Psychologist 1384 Kempsville Rd, Norfolk, VA 23502-2299 2019-10-04
1699236224 Deborah Katherine Sullivan Counselor 40700 California Oaks Rd Ste 202, Murrieta, CA 92562-5789 2019-03-27
1164816716 Deborah Sullivan Nurse Practitioner 41 Mall Rd, Trauma Office 2t53, Burlington, MA 01805-0001 2015-03-22
1053740142 Deborah Sullivan Speech-Language Pathologist 415 6th St, Lewiston, ID 83501-2431 2013-11-08

Office Location

Street Address 411 30TH ST
City OAKLAND
State CA
Zip Code 94609-3310

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588656847 Philip Young-suh Chyu Radiology 411 30th St, #508, Oakland, CA 94609 2005-08-22
1841724218 Jennifer Lynne Stanley Internal Medicine 411 30th St, Oakland, CA 94609-3310 2017-04-12
1558702886 Catherine Yen Lowder Acupuncturist 411 30th St, Suite 308, Oakland, CA 94609-3310 2013-07-15
1760740468 East Bay Family Institute Psychologist 411 30th St, 305, Oakland, CA 94609-3310 2012-05-01
1659648905 Gretchen Ann Thompson Case Manager/Care Coordinator 411 30th St, Suite 303, Oakland, CA 94609-3310 2011-11-30
1174842835 Wade R. Cartwright M.d. A Professional Corporation Otolaryngology 411 30th St, Suite 401, Oakland, CA 94609-3310 2010-05-20
1912229097 Taylor Beebe Counselor 411 30th St, Oakland, CA 94609-3310 2010-02-17
1750612552 Ruby Elmer Counselor 411 30th St, Oakland, CA 94609-3310 2010-01-19
1619206877 Tasia Holland Specialist 411 30th St, Oakland, CA 94609-3310 2009-12-17
1013168582 Mohamed Bereteh Counselor 411 30th St, Suite 314, Oakland, CA 94609-3301 2008-10-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104457159 Gerard John-charles Coughlin Student in an Organized Health Care Education/Training Program Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 2020-01-29
1417502022 Michael Knittel Registered Nurse 370 Hawthorne Ave, Oakland, CA 94609 2019-08-09
1962057562 Nicole Kjolby Registered Nurse Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 2019-08-09
1396208286 Graham Vallis Student in an Organized Health Care Education/Training Program Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 2019-04-09
1386129526 Gary Mitchell Snider Counselor 390 40th Street, Oakland, CA 94609 2018-10-02
1720568389 Lice Control Inc. Technician 6557 Shattuck Ave, Oakland, CA 94609 2018-08-14
1528559150 Jenna Marie Kincaid Behavior Technician 400 29th St., 204, Oakland, CA 94609 2018-05-18
1336656669 Nicholas Dicarlo Social Worker 465 34th St Ste 6, Oakland, CA 94609 2018-01-09
1174045744 Theodora J Marzouk Home Health Aide 3317 Elm Street, Suite 202, Oakland, CA 94609 2017-07-14
1740728922 Elena Gardella Marriage & Family Therapist 411 30th Street, Suite 412, Oakland, CA 94609 2017-02-07
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Taxonomy Information

Taxonomy Code 163WP0808X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235767393 Julianne Vilardi Registered Nurse 3410 Birdsall Ave Unit B, Oakland, CA 94619-2621 2020-04-01
1346884301 Joshua Ian Habansky Registered Nurse 3300 Webster St Ste 402, Oakland, CA 94609-3149 2019-11-03
1699314245 Alfredo Isaac Ortiz Registered Nurse 629 Oakland Ave, Oakland, CA 94611-4567 2019-12-30
1376187716 Rosalin M. Smith Registered Nurse 390 40th St, Oakland, CA 94609-2633 2019-10-29
1154974574 Miltom Cruz Registered Nurse 1700 Broadway Ste 500, Oakland, CA 94612-2141 2019-07-24
1972066272 Roxana L Murray Registered Nurse 280 17th St, Oakland, CA 94612-4124 2019-04-12
1134693203 Gisa Sanjabi Registered Nurse 1700 Broadway, Oakland, CA 94612-2141 2019-01-11
1972092120 Pamela Denice Hood Registered Nurse 1700 Broadway Fl 5, Oakland, CA 94612-2141 2018-05-03
1326494337 Blessing Lawski Registered Nurse 1700 Broadway, Oakland, CA 94612-2141 2016-05-09
1629495403 Katherine Hoeber Registered Nurse 1700 Broadway, Suite-500, Oakland, CA 94612-2141 2014-03-18
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Competitor

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City OAKLAND
Zip Code 94609

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Dataset Information

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.

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