DR. RODNEY ANTHONY SULLIVAN (NPI# 1790877561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790877561 |
| Entity Type | Individual |
| Full Name | DR. RODNEY ANTHONY SULLIVAN |
| Credential | PHD |
| Practice Address |
2 Redbush Ct Suite 2 Johnson City TN 37601-4340 |
| Practice Telephone | 4239520992 |
| Mailing Telephone | 4239520992 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2012-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | P0000001569 | TN | Behavioral Health & Social Service Providers |
| Street Address |
2 REDBUSH CT SUITE 2 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601-4340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336147552 | Mary Leoma Yarling | Social Worker | 2 Redbush Ct, Johnson City, TN 37601-4340 | 2005-07-12 |
| 1912922261 | Robert B Hughes | Clinical Neuropsychologist | 2 Redbush Ct, Ste 2, Johnson City, TN 37601-4340 | 2006-07-13 |
| 1407824550 | Beverly Cornelia Owens | Social Worker | 2 Redbush Ct, Suite 2, Johnson City, TN 37601-4340 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381992 | Juan Carlos Simon Villegas Gomez | Specialist/Technologist | 1081 John Robert Bell Dr, Johnson City, TN 37601 | 2019-11-19 |
| 1629537279 | Jaima Suzanne Price | Hearing Instrument Specialist | 106 E Watauga Avenue, Johnson City, TN 37601 | 2019-03-13 |
| 1275004467 | Brittany Howell | Speech-Language Pathologist | 2114 E. Fairview Ave, Johnson City, TN 37601 | 2018-12-16 |
| 1194229948 | Heather Chantel Lester | Physical Therapist | 2114 E. Fairview Avenue, Johnson City, TN 37601 | 2018-03-19 |
| 1477061869 | Patrick Conway Reynolds | Specialist/Technologist | 1081 John Robert Bell Drive, Johnson City, TN 37601 | 2018-01-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1073065694 | Davina Leah Reppond | Home Health | 1204 E Myrtle Ave, Johnsoncity, TN 37601 | 2016-10-31 |
| 1003365503 | Wendi Y Minutolo | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601 | 2016-09-25 |
| 1306208798 | Rachel Anne Anderson | Nurse Practitioner | 1118 East Holston Avenue, Johnson City, TN 37601 | 2016-03-24 |
| 1932560976 | Kaydee Louise Davidson | Occupational Therapist | 3209 Bristol Highway, Johnson City, TN 37601 | 2016-03-18 |
| Find all providers in zip 37601 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174727309 | Neurobehavioral Associates | Clinical Neuropsychologist | 2 Worth Cir Ste 2, Johnson City, TN 37601-4306 | 2007-06-12 |
| 1912922261 | Robert B Hughes | Clinical Neuropsychologist | 2 Redbush Ct, Ste 2, Johnson City, TN 37601-4340 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013391960 | Victoria Villicana | Clinical Neuropsychologist | 2417 Bayview Dr, Nashville, TN 37217-3437 | 2015-07-09 |
| 1891177812 | Penny S. Tyler | Clinical Neuropsychologist | 205 N 8th St Unit 102, Nashville, TN 37206-4099 | 2015-06-25 |
| 1295120491 | Elise Baldwin Bradley | Clinical Neuropsychologist | 1161 21st Avenue S, Nashville, TN 37232 | 2015-04-03 |
| 1295160760 | Jacqueline Klaver | Clinical Neuropsychologist | 2200 21st Ave S Ste 300, Nashville, TN 37212 | 2013-09-03 |
| 1073958476 | Jessica E. Barclay | Clinical Neuropsychologist | Encompass Health Rehabilitation Hospital of Franklin, 1000 Physicians Way, Outpatient Offices, Franklin, TN 37067 | 2013-04-30 |
| 1508115668 | Michael Shapiro | Clinical Neuropsychologist | 4219 Hillsboro Pike Ste 306, Nashville, TN 37215-3332 | 2012-09-05 |
| 1922310176 | Yasmeen Iqbal Neal | Clinical Neuropsychologist | 4235 Hillsboro Pike Ste 300, Nashville, TN 37215-3344 | 2010-07-03 |
| 1306162326 | Neelam Jain | Clinical Neuropsychologist | 1661 International Place Dr Ste 400, Memphis, TN 38120-1431 | 2010-04-15 |
| 1811189095 | Sarah Kathryn Steele | Clinical Neuropsychologist | 204 Iris Dr, Hendersonville, TN 37075-2206 | 2007-08-13 |
| 1174738512 | Eric S. Engum | Clinical Neuropsychologist | Cross Park Plaza, Suite D266, 9111 Cross Park Drive, Knoxville, TN 37923-4506 | 2007-05-11 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37601 |
Please comment or provide details below to improve the information on DR. RODNEY ANTHONY 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.