STEPHANIE SULLIVAN (NPI# 1750779989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750779989 |
| Entity Type | Individual |
| Full Name | STEPHANIE SULLIVAN |
| Credential | MS, LAC, NCC |
| Practice Address |
145 Maple Ave Red Bank NJ 07701-1717 |
| Practice Telephone | 7327479660 |
| Mailing Telephone | 7327479660 |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2014-12-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 37AC00159000 | NJ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 210634494 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255828307 | Stephanie Marie Sullivan | Marriage & Family Therapist | 415 S Main St Ste E, Rochester, MI 48307-2077 | 2018-04-15 |
| 1568901544 | Stephanie Ann Sullivan | Nurse Anesthetist, Certified Registered | Unity Point Health Methodist, 221 Ne Glen Oak Avenue, Peoria, IL 61636-0001 | 2017-02-23 |
| 1740608017 | Stephanie Sullivan | Speech-Language Pathologist | 3950 Sw 16th St, Okeechobee, FL 34974 | 2014-04-02 |
| 1619150158 | Stephanie Sue Sullivan | Licensed Practical Nurse | 5773 Golden Eagle Cir, Palm Beach Gardens, FL 33418-1518 | 2007-12-06 |
| 1063038115 | Stephanie N Sullivan | Dietitian, Registered | 100 Medical Center Way, Somers Point, NJ 08244-2300 | 2020-06-24 |
| 1871063396 | Stephanie Ashleigh Sullivan | Behavior Technician | 301 S Tubb St Ste A1, Oakland, FL 34760-8859 | 2018-11-27 |
| 1861968356 | Stephanie E Sullivan | Massage Therapist | 1301 Herr Ln, Louisville, KY 40222-4388 | 2018-10-23 |
| 1750801924 | Stephanie Leigh Sullivan | Case Manager/Care Coordinator | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2017-06-20 |
| 1679987796 | Stephanie Sullivan | Speech-Language Pathologist | 501 Valley View Blvd, Altoona, PA 16602-6410 | 2014-06-17 |
| 1073952396 | Stephanie Sullivan | Emergency Medicine | 1304 Franklin Ave, Normal, IL 61761-3558 | 2013-06-19 |
| Street Address |
145 MAPLE AVE |
| City | RED BANK |
| State | NJ |
| Zip Code | 07701-1717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104488345 | Maureen V Waters Lcsw LLC | Social Worker | 145 Maple Ave, Red Bank, NJ 07701-1717 | 2019-07-08 |
| 1932680113 | Christina Marie Stratton | Counselor | 145 Maple Ave, Red Bank, NJ 07701-1717 | 2018-08-24 |
| 1902352834 | Daniela Szatkowski | Social Worker | 145 Maple Ave, Red Bank, NJ 07701 | 2016-08-31 |
| 1790167294 | Noreen Felicelli | Social Worker | 145 Maple Ave, Red Bank, NJ 07701-1717 | 2015-06-22 |
| 1730579806 | Melissa Boege | Counselor | 145 Maple Ave, Red Bank, NJ 07701-1717 | 2015-01-28 |
| 1568860864 | Susana Pestana-szwarc | Community/Behavioral Health | 145 Maple Ave, Red Bank, NJ 07701-1717 | 2014-12-18 |
| 1184020604 | Linda Raoul | Social Worker | 145 Maple Ave, Red Bank, NJ 07701-1717 | 2014-11-11 |
| 1093127987 | Holly Anderson Lerner | Counselor | 145 Maple Ave, Red Bank, NJ 07701-1717 | 2014-05-27 |
| 1669619557 | Catholic Charities, Diocese of Trenton | Counselor | 145 Maple Ave, Red Bank, NJ 07701-1717 | 2009-01-14 |
| 1417109802 | Gloria D Ghoneim | Social Worker | 145 Maple Ave, Red Bank, NJ 07701-1717 | 2008-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447801659 | Kelsey M Simonson | Occupational Therapist | 15 Fowler Court, Red Bank, NJ 07701 | 2019-09-28 |
| 1225697816 | Professional Occupational & Physical Therapy, Pllc | Occupational Therapist | 39 East Front Street, Red Bank, NJ 07701 | 2019-06-07 |
| 1164992483 | Christine Elizabeth Fernandez | Social Worker | 1 Corbett Say, Eatontown, NJ 07701 | 2018-11-29 |
| 1346725330 | The Tms Center of New Jersey PC | Psychiatry & Neurology | 55 North Gilbert St, Suite 2203, Tinton Falls, NJ 07701 | 2018-09-26 |
| 1194205187 | Enlightening Counseling & Educational Services, LLC | Social Worker | 331 Newman Springs Rd. Bldg.1, 4th Floor, Suite 143, Red Bank, NJ 07701 | 2018-08-19 |
| 1013405794 | Susan Obrien | Registered Nurse | 270 New Jersey 35, Red Bank, NJ 07701 | 2018-04-27 |
| 1477055952 | Alexandra Gingerelli | Counselor | 48 Reckless Place, Red Bank, NJ 07701 | 2018-03-01 |
| 1841702529 | Felicia Dawn Stoler | Dietitian, Registered | 31 Leroy Place, Red Bank, NJ 07701 | 2017-11-02 |
| 1710408232 | Angela Marie Freedman | Physician Assistant | 1 Riverview Plaza Multi Disciplinary Cancer Center, Red Bank, NJ 07701 | 2017-07-06 |
| 1891225769 | Asha One Pharmacy LLC | Pharmacy | 224 Shrewsbury Avenue, Red Bank, NJ 07701 | 2017-06-14 |
| Find all providers in zip 07701 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295387025 | The Community Ymca | Community/Behavioral Health | 230 Cooper Rd, Red Bank, NJ 07701-6010 | 2019-07-11 |
| 1417519596 | Ymca of Greater Monmouth County | Community/Behavioral Health | 155 Hubbard Ave, Red Bank, NJ 07701-5534 | 2019-06-28 |
| 1649775446 | Ymca of Greater Monmouth County | Community/Behavioral Health | 101 Harding Rd, Red Bank, NJ 07701-2051 | 2018-03-26 |
| 1134595150 | Oasis Therapeutic Life Centers, Inc | Community/Behavioral Health | 89 Sleepy Hollow Rd, Red Bank, NJ 07701-6024 | 2015-08-13 |
| 1497949721 | Hope In Christ, LLC | Community/Behavioral Health | 227 E Bergen Pl, First Floor Center Suite, Red Bank, NJ 07701-2160 | 2007-08-29 |
| 1255942215 | Ymca of Greater Monmouth County | Community/Behavioral Health | 222 River St, Red Bank, NJ 07701-1328 | 2020-08-13 |
| 1558830588 | Liz Walter Lcsw LLC | Community/Behavioral Health | 200 Maple Ave Ste 100, Red Bank, NJ 07701-1732 | 2018-11-20 |
| 1043709991 | Just In Time Matters | Community/Behavioral Health | 25 Bank St, Red Bank, NJ 07701-1304 | 2018-05-07 |
| 1821537093 | Cpc Behavioral Healthcare | Community/Behavioral Health | 270 Highway 35, Red Bank, NJ 07701-5920 | 2017-02-21 |
| 1023461233 | Moments In Time Counseling, LLC | Community/Behavioral Health | 205 Broad St, Red Bank, NJ 07701-2009 | 2016-07-22 |
| Find all providers in RED BANK | ||||
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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.