BRENDAN R SULLIVAN (NPI# 1518431949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518431949 |
| Entity Type | Individual |
| Full Name | BRENDAN R SULLIVAN |
| Practice Address |
108 W Market St Bloomington IL 61701-3918 |
| Practice Telephone | 3098275351 |
| Mailing Telephone | 3098275351 |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-01-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174724686 | Brendan Michael Sullivan | Physical Therapist | 105 Stockton Sq, Pottstown, PA 19465-7599 | 2007-05-31 |
| 1174521140 | Brendan P Sullivan | Internal Medicine | 1135 Clifton Ave, Suite 206, Clifton, NJ 07013-3642 | 2005-07-13 |
| 1023540853 | Brendan Sullivan | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr Rm 5011, Ypsilanti, MI 48197-1003 | 2017-03-30 |
| 1144660754 | Brendan James Sullivan | Internal Medicine | 75 Francis St, Boston, MA 02115-6110 | 2013-06-27 |
| 1336480144 | Brendan D. Sullivan | Social Worker | 711 Devon Ave, Suite 203, Park Ridge, IL 60068-4713 | 2013-03-05 |
| 1619215597 | Brendan G. Sullivan | Speech-Language Pathologist | 1251 White Mountain Hwy, North Conway, NH 03860-5154 | 2013-01-28 |
| 1780643908 | Brendan L Sullivan | Pediatrics | 9010 Lorton Station Blvd, Suite 100, Lorton, VA 22079-4792 | 2006-03-18 |
| 1962494740 | Brendan Sullivan | Physical Therapist | 8 Century Hill Dr, Suite 201, Latham, NY 12110-2193 | 2005-08-18 |
| Street Address |
108 W MARKET ST |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61701-3918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245233493 | Mclean County Center for Human Services, Inc | Counselor | 108 W Market St, Bloomington, IL 61701-3918 | 2005-05-23 |
| 1194367425 | Abigail M Nieslawski | Counselor | 108 W Market St, Bloomington, IL 61701-3918 | 2019-10-08 |
| 1356995872 | Vanessa N Middlebrooks | Licensed Practical Nurse | 108 W Market St, Bloomington, IL 61701-3918 | 2019-08-01 |
| 1821640160 | Karen M Swineford | Counselor | 108 W Market St, Bloomington, IL 61701-3918 | 2019-07-16 |
| 1144872490 | Alison Nicole Hamlet | Counselor | 108 W Market St, Bloomington, IL 61701-3918 | 2019-07-16 |
| 1578115804 | Melissa Dawn Sill | Counselor | 108 W Market St, Bloomington, IL 61701-3918 | 2019-07-16 |
| 1740849728 | Jenny Johnson | Counselor | 108 W Market St, Bloomington, IL 61701-3918 | 2019-06-12 |
| 1699334664 | Hayley Nicole Wissmiller | Counselor | 108 W Market St, Bloomington, IL 61701-3918 | 2019-06-12 |
| 1740846351 | Elizabeth Anne Fillmore | Counselor | 108 W Market St, Bloomington, IL 61701-3918 | 2019-05-20 |
| 1518523133 | Karyn W Flores | Registered Nurse | 108 W Market St, Bloomington, IL 61701-3918 | 2019-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140964 | County of Mclean | Community/Behavioral Health | 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 | 2019-05-22 |
| 1023525292 | Karli Johnson | Counselor | 200 W Monroe St Ste C7, Bloomington, IL 61701 | 2018-01-09 |
| 1487172409 | Melody Ann Bauman | Physician Assistant | 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 | 2017-08-30 |
| 1215396288 | Heidi Larsen | Social Worker | 902 S East St, Bloomington, IL 61701 | 2016-02-18 |
| 1558735126 | Andrea E. Andrews Counseling LLC | Counselor | 200 W. Monroe St., Ste 302 C, Bloomington, IL 61701 | 2015-11-19 |
| 1174924856 | Carole Hahn | Dietitian, Registered | 1406 Forrest St, Bloomington, IL 61701 | 2014-09-12 |
| 1558786392 | Valerie Colleen Parker | Counselor | 109 W. Mulberry St., Bloomington, IL 61701 | 2014-03-04 |
| 1124459219 | Matilde Francois | Surgery | 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 | 2013-11-27 |
| 1922435114 | Smitha H Shivaprasad | Pharmacist | 2611 East Oakland Avenue, Bloomington, IL 61701 | 2013-10-02 |
| 1295161941 | Ashvin Patel | Obstetrics & Gynecology | 31 Country Club Pl, Bloomington, IL 61701 | 2013-09-25 |
| Find all providers in zip 61701 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526631 | Sandra Clark | Counselor | 205 N College Avenue, Suite 210a, Bloomington, IN 47404 | 2020-07-29 |
| 1881218642 | Amy Lynn Hootman | Counselor | 2806 W Fawkesway Dr, Bloomington, IN 47404-1211 | 2020-06-07 |
| 1568096543 | Elm Services LLC | Counselor | 4076 N Brookwood Dr, Bloomington, IN 47404-9602 | 2020-02-27 |
| 1033759014 | Joseph Gerbofsky | Counselor | 410 S Landmark Ave, Bloomington, IN 47403-5000 | 2020-01-08 |
| 1508416371 | Amy Michelle Owens | Counselor | 400 W 7th St Ste 105g, Bloomington, IN 47404-3900 | 2019-09-13 |
| 1407401714 | Nichole M Day | Counselor | 101 W Kirkwood Ave Ste 210, Bloomington, IN 47404-6133 | 2019-08-04 |
| 1548721574 | Ashley Hilkey | Counselor | 4500 W Woodland Dr, Bloomington, IN 47404-9582 | 2019-03-31 |
| 1235695867 | Sandra K. Tucker, Ms, Lmhc, LLC | Counselor | 822 W 1st St Ste 4, Bloomington, IN 47403-2382 | 2019-02-19 |
| 1487120903 | Rebecca Anne Romberger | Counselor | 530 W Center, Bloomington, IL 61701-6170 | 2018-10-23 |
| 1740789635 | Jonna Marie Capio Lmhc LLC | Counselor | 3925 E Hagan St Ste 307, Bloomington, IN 47401-8649 | 2018-02-06 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61701 |
Please comment or provide details below to improve the information on BRENDAN R 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.