GLINDA SULLIVAN, PSYD (NPI# 1679766307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679766307 |
| Entity Type | Organization |
| Organization Name | GLINDA SULLIVAN, PSYD |
| Practice Address |
1400 State Road F Suite 101 Waynesville MO 65583 |
| Practice Telephone | 5735287569 |
| Practice Fax Number | 5737744009 |
| Mailing Telephone | 5735287569 |
| Mailing Fax Number | 5737744009 |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2007-08-27 |
| Authorized Official Name | DR. GLINDA MAE SULLIVAN (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 5735287569 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2004024741 | MO | Behavioral Health & Social Service Providers |
| Street Address |
1400 STATE ROAD F SUITE 101 |
| City | WAYNESVILLE |
| State | MO |
| Zip Code | 65583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740350651 | John Richard Fontana | Psychologist | 1400 State Road F, Waynesville, MO 65583-2831 | 2006-11-08 |
| 1356473607 | Susan Armstrong Marino | Counselor | 1400 State Road F, Suite 101, Waynesville, MO 65583 | 2007-03-12 |
| 1407905029 | Patrick Bryan Molloy | Counselor | 1400 State Road F, Suite 102, Waynesville, MO 65583-0000 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972133460 | Fnp4jc, LLC | Family Medicine | 215 North Street, Waynesville, MO 65583 | 2020-01-23 |
| 1134770464 | Patricia Harper | Technician | 25455 Hwy W, Waynesville, MO 65583 | 2019-09-27 |
| 1619430519 | Charles L Quinn | Counselor | Hope Connections LLC 704 Historic Rte. 66w Suite 101, Waynesville, MO 65583 | 2019-04-09 |
| 1801340609 | Nicole Marie Decher | Social Worker | 704 Historic 66 W # 207, Waynesville, MO 65583 | 2016-08-09 |
| 1780952945 | Joseph Benton Isaac | Dentist | 1400 State Rd F, Reznicek Dental Group LLC, Waynesville, MO 65583 | 2011-12-02 |
| 1326325192 | Paul Duane Reznicek | Dentist | 1400 State Rt F, Waynesville, MO 65583 | 2011-11-08 |
| 1629366182 | Bletel Residential Homes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 18844 Ladera Ln, Waynesville, MO 65583 | 2011-07-19 |
| 1720218126 | Pulaski County Board for The Handicapped | Case Management | 301 Historic Route 66 East, Waynesville, MO 65583 | 2009-07-20 |
| 1447436001 | Joseph Garold Moody | Counselor | 1000 Hospital Road., Piney Ridge Center, Waynesville, MO 65583 | 2008-01-14 |
| 1841404746 | Valencia Sivells | Counselor | 411 Historic Rte 66 West, Waynesville, MO 65583 | 2007-05-09 |
| Find all providers in zip 65583 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417006230 | Raymond Carroll Turpin IIi | Psychologist | 52 Walnut St Ste 4, Waynesville, NC 28786-7402 | 2007-01-10 |
| 1952802761 | Catherine Rand | Psychologist | 514 High St, Waynesville, OH 45068-9784 | 2018-02-27 |
| 1457860256 | Raymond Witte | Psychologist | 514 High St, Waynesville, OH 45068-9784 | 2017-09-25 |
| 1649443896 | Amy Elizabeth Parrish | Psychologist | 28 Walnut St, Suite 3, Waynesville, NC 28786-3245 | 2008-04-09 |
| 1023134574 | Arthur J. Dosch | Psychologist | 91 Timberlane Rd, Waynesville, NC 28786-7927 | 2007-03-22 |
| 1730102401 | Melissa K Hamm | Psychologist | 91 Timberlane Rd, Waynesville, NC 28786-7927 | 2006-07-25 |
| 1194700591 | Marsha Hammond | Psychologist | 1207 East St, Waynesville, NC 28786-3438 | 2005-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911370 | Sarah Marie Whitman | Psychologist | 500 Huber Park Ct Ste 205, Weldon Spring, MO 63304-8683 | 2020-10-27 |
| 1215541040 | Charles A Burgess | Psychologist | 119 Parker Hall, Columbia, MO 65211-2340 | 2020-08-31 |
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1174147649 | Melissa Turkel | Psychologist | 915 N Grand Blvd # 116-jc, Saint Louis, MO 63106-1621 | 2020-06-01 |
| 1851910335 | Columbia Psychology Healing Center LLC | Psychologist | 1900 N Providence Rd Ste 327, Columbia, MO 65202-3710 | 2020-04-14 |
| 1629600085 | Dr Richard Heise LLC | Psychologist | 10621 Midland Manor Ct, Saint Louis, MO 63114-1202 | 2020-02-04 |
| 1598302226 | Taylor Montgomery | Psychologist | 12837 Flushing Meadows Dr Ste 220, Saint Louis, MO 63131-1824 | 2019-12-02 |
| 1528523420 | Daniel Franco | Psychologist | 4501 Kentsfield Ln, Columbia, MO 65201-3587 | 2019-02-05 |
| 1265917884 | Gillian Sloane Mayersohn | Psychologist | 1 Childrens Pl Ste 3n14, Saint Louis, MO 63110-1002 | 2018-09-28 |
| 1215421581 | Samuel L Kramer | Psychologist | 16216 Baxter Rd Ste 205, Chesterfield, MO 63017-4778 | 2018-06-19 |
| Find all providers with the same taxonomy | ||||
| City | WAYNESVILLE |
| Zip Code | 65583 |
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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.