SHANNON MARIE SULLIVAN (NPI# 1609392737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609392737 |
| Entity Type | Individual |
| Full Name | SHANNON MARIE SULLIVAN |
| Practice Address |
859 Willard St Ste 430 Quincy MA 02169-7490 |
| Practice Telephone | (617) 847-1950 |
| Practice Fax Number | 6177741490 |
| Mailing Telephone | 6178471950 |
| Mailing Fax Number | 6177741490 |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2017-08-21 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639728207 | Shannon Oliver Sullivan | Counselor | 1 Baltimore Pl Nw, Suite 360, Atlanta, GA 30308 | 2019-09-06 |
| 1295395853 | Shannon Sullivan | Durable Medical Equipment & Medical Supplies | 14095 E Exposition Ave, Aurora, CO 80012-2522 | 2019-06-17 |
| 1730716010 | Shannon Allison Sullivan | Student in an Organized Health Care Education/Training Program | 101 The City Drive S, City Tower, Ste 400, Orange, CA 92868 | 2020-03-25 |
| 1831725662 | Shannon Sullivan | Social Worker | 224 Alexander St, Rochester, NY 14607-4000 | 2020-03-12 |
| 1841822053 | Shannon Rose Sullivan | Speech-Language Pathologist | 9520 Prototype Ct, Reno, NV 89521-5916 | 2020-02-05 |
| 1619514239 | Shannon Michelle Sullivan | Rehabilitation Practitioner | 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 | 2019-12-02 |
| 1679048425 | Shannon Elyse Sullivan | Occupational Therapist | 14715 Ne Bel Red Rd, Bellevue, WA 98007-3940 | 2018-10-08 |
| 1174028732 | Shannon Jean Sullivan | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2018-03-27 |
| 1134596687 | Shannon Sullivan | Social Worker | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2015-08-31 |
| 1114394202 | Shannon Sullivan | Speech-Language Pathologist | 64 Main St, Sturbridge, MA 01566-1244 | 2015-08-25 |
| Street Address |
859 WILLARD ST STE 430 |
| City | QUINCY |
| State | MA |
| Zip Code | 02169-7490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598935157 | Ramsay J R Cadet | Counselor | 859 Willard St Ste 430, Quincy, MA 02169-7490 | 2008-03-10 |
| 1457980476 | Shawna M Tanner | Student in an Organized Health Care Education/Training Program | 859 Willard St Ste 430, Quincy, MA 02169-7490 | 2020-04-02 |
| 1235767344 | Denis Uka | Student in an Organized Health Care Education/Training Program | 859 Willard St Ste 430, Quincy, MA 02169-7490 | 2020-04-01 |
| 1619503067 | Jessica Shakr | Counselor | 859 Willard St Ste 430, Quincy, MA 02169-7490 | 2020-03-17 |
| 1700341781 | Naomie Jules | Counselor | 859 Willard St Ste 430, Quincy, MA 02169-7490 | 2019-02-04 |
| 1558842294 | Madeline Mary Shields | Social Worker | 859 Willard St Ste 430, Quincy, MA 02169-7490 | 2018-08-21 |
| 1396263687 | Rebecca Stormberg | Counselor | 859 Willard St Ste 430, Quincy, MA 02169-7490 | 2017-09-06 |
| 1619498748 | Faith Danielle Justynski | Counselor | 859 Willard St Ste 430, Quincy, MA 02169-7490 | 2017-06-28 |
| 1861920944 | Nancy Johnson | Counselor | 859 Willard St Ste 430, Quincy, MA 02169-7490 | 2017-06-01 |
| 1518352863 | Afton Greenidge | Counselor | 859 Willard St Ste 430, Quincy, MA 02169-7490 | 2015-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617339 | Meghan Earle | Counselor | 1354 Hancock St Ste 214, Quincy, MA 02169-5109 | 2020-10-19 |
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1427608223 | Derrick Lacasse | Counselor | 79 Curtis Ave Apt 1, Quincy, MA 02169-7200 | 2019-09-13 |
| 1396309134 | Ariana B Teixeira | Counselor | 859 Willard St Ste 4, Quincy, MA 02169-7482 | 2019-04-26 |
| 1417510553 | Seth Andrew Stultz I | Counselor | 23 Branch St, Quincy, MA 02169-7561 | 2019-04-15 |
| 1033676945 | Martinette Z Douglas | Counselor | 2931 Payson Hts Apt Suite, Quincy, IL 62305-6429 | 2019-02-27 |
| 1942772793 | Maura Eileen Papile | Counselor | 34 Coddington St, Quincy, MA 02169-4501 | 2018-12-18 |
| 1295219285 | Katrina D Reyes | Counselor | 460 Quincy Ave Fl 3, Quincy, MA 02169-8130 | 2018-09-17 |
| 1548740301 | Amanda Paige Reilly | Counselor | 500 Victory Rd Ste 24, Quincy, MA 02171-3109 | 2018-08-20 |
| 1023501517 | Kelly Marie O'gara | Counselor | 1419 Hancock St Ste 200, Quincy, MA 02169-5250 | 2018-06-11 |
| Find all providers in QUINCY | ||||
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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.