JOAN M SULLIVAN (NPI# 1689704728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689704728 |
| Entity Type | Individual |
| Full Name | JOAN M SULLIVAN |
| Credential | MA |
| Practice Address |
403 E Madison St South Bend IN 46617-2322 |
| Mailing Address |
18025 Crownhill Dr #8 South Bend IN 46637-4348 |
| Practice Telephone | 5742831107 |
| Practice Fax Number | 5742831131 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205258498 | Joan E Sullivan | Pharmacist | 5918 Stoneridge Mall Road, Pleasanton, CA 94588 | 2014-01-08 |
| 1144372970 | Joan Sullivan | Contractor | 9010 Fitzsimmons Ave A, Madigan Army Medical Center, Tacoma, WA 98431-0001 | 2007-01-18 |
| 1487656278 | Joan E Sullivan | Nurse Practitioner | 95 Soldiers Pass Rd, Suite A-2, Sedona, AZ 86336-4781 | 2005-08-11 |
| 1346240223 | Joan M Sullivan | Legal Medicine | 20 Arrowood Dr, Ithaca, NY 14850-1857 | 2005-07-21 |
| 1417393901 | Joan Marie Sullivan | Pharmacist | 2101 E Jefferson St, Rockville, MD 20852-4908 | 2013-05-11 |
| 1710007729 | Joan Marie Sullivan | Religious Nonmedical Nursing Personnel | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2007-03-31 |
| 1851445373 | Joan Grant Sullivan | Psychiatry & Neurology | 1749 Martin Luther King Jr Way, Berkeley, CA 94709-2139 | 2007-01-22 |
| 1043393150 | Joan M Sullivan | Physician Assistant | 1675 Leahy St, Suite 401a, Muskegon, MI 49442-5500 | 2006-10-23 |
| 1164496931 | Joan Lucille Sullivan | Occupational Therapist | 503 Grasslands Rd, Suite 105, Valhalla, NY 10595-1503 | 2006-02-16 |
| Street Address |
403 E MADISON ST |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46617-2322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164497962 | Phillip Coffey | Social Worker | 403 E Madison St, South Bend, IN 46617-2322 | 2006-02-23 |
| 1134534456 | Memorial Hospital of South Bend, Inc | General Acute Care Hospital | 403 E Madison St, South Bend, IN 46617-2322 | 2014-06-25 |
| 1225310402 | Susan K Henderson | Counselor | 403 E Madison St, South Bend, IN 46617-2322 | 2011-09-14 |
| 1154633550 | Meladie A Langham | Counselor | 403 E Madison St, South Bend, IN 46617-2322 | 2010-07-14 |
| 1497067896 | Kami S Brenneman | Counselor | 403 E Madison St, South Bend, IN 46617-2322 | 2010-07-14 |
| 1396064309 | Casandra Mcgrew | Counselor | 403 E Madison St, South Bend, IN 46617-2322 | 2010-06-01 |
| 1124347133 | Amanda Jardine | Counselor | 403 E Madison St, South Bend, IN 46617-2322 | 2010-06-01 |
| 1104141985 | Aaron T Gray | Counselor | 403 E Madison St, South Bend, IN 46617-2322 | 2010-04-05 |
| 1346579679 | Linda S Hoppel | Counselor | 403 E Madison St, South Bend, IN 46617-2322 | 2009-12-16 |
| 1235468570 | Michelle M Peters | Social Worker | 403 E Madison St, South Bend, IN 46617-2322 | 2009-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740731116 | Jack Mcintyre Kimmell | Specialist/Technologist | 1526 East Lasalle, South Bend, IN 46617 | 2016-10-20 |
| 1023429115 | Morning View Assisted Living LLC | Assisted Living Facility | 475 N. Niles Avenue, South Bend, IN 46617 | 2014-05-12 |
| 1265861231 | Rebecca Busenbark | Physical Therapist | 401 E Colfax Ave Ste 102, South Bend, IN 46617 | 2013-11-11 |
| 1962709071 | Doreen Danice Huddleston | Social Worker | 928 East Wayne St, Suit C, South Bend, IN 46617 | 2011-02-25 |
| 1487981734 | Mary Cecilia Roemer | Marriage & Family Therapist | 616 E. Colfax Ave, South Bend, IN 46617 | 2009-11-06 |
| 1225264054 | Sridhar Meda | Dentist | 1005 East Lasalle Ave, South Bend, IN 46617 | 2009-06-08 |
| 1063673531 | Madeline Christina Watkins | Counselor | 616 E Colfax, South Bend, IN 46617 | 2008-06-18 |
| 1437366481 | Michael Reed Johns | Dentist | 103 South Eddy Street, South Bend, IN 46617 | 2007-05-17 |
| 1194937680 | Sarah Elizabeth Redman | Specialist/Technologist | 53880 Carmichael Dr., South Bend, IN 46617 | 2007-05-04 |
| 1124241211 | Trixy Franke | Family Medicine | 837 E. Cedar St., Ste 100, South Bend, IN 46617 | 2007-04-10 |
| Find all providers in zip 46617 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770191892 | Baochun Hind | Counselor | 1205 E Bronson St, South Bend, IN 46615-1141 | 2020-07-15 |
| 1356820765 | Roniqua Teshae Roundtree | Counselor | 53174 Flowing Stream Ct, South Bend, IN 46628-9034 | 2018-08-08 |
| 1760909840 | Precious Pals Inc | Counselor | 1139 E Lasalle Ave, South Bend, IN 46617-3321 | 2017-08-29 |
| 1780053546 | Jonathan Rosengren | Counselor | 415 E Madison Street, South Bend, IN 46617-1109 | 2015-09-22 |
| 1225283039 | Jody L. Hughes | Counselor | 202 S. Michigan Street, Suite 875, South Bend, IN 46601 | 2008-11-20 |
| 1063673531 | Madeline Christina Watkins | Counselor | 616 E Colfax, South Bend, IN 46617 | 2008-06-18 |
| 1437289469 | Randy Nims | Counselor | 701 N Niles Ave, South Bend, IN 46617-1923 | 2007-03-07 |
| 1609906593 | Jenifer R Hill | Counselor | 227n Dixie Way 140, South Bend, IN 46637-3300 | 2007-03-07 |
| 1396873147 | Barbara Lynn Miller | Counselor | 5024 W Western Ave, South Bend, IN 46619-2312 | 2007-03-02 |
| 1255472643 | Deborah Kay Clardy | Counselor | 53846 Generations Dr, South Bend, IN 46635-1543 | 2007-02-09 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46617 |
Please comment or provide details below to improve the information on JOAN M 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.