KATHLEEN SCARLETT SULLIVAN (NPI# 1790938694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790938694 |
| Entity Type | Individual |
| Full Name | KATHLEEN SCARLETT SULLIVAN |
| Credential | MFT |
| Practice Address |
3851 Rosecrans St Ste K-08 San Diego CA 92110-3115 |
| Mailing Address |
Po Box 635212 San Diego CA 92163-5212 |
| Practice Telephone | 6195424913 |
| Mailing Telephone | 6195424913 |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2020-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 49153 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265890909 | Kathleen Sullivan | Clinical Nurse Specialist | 2040 9th Ave, # C, Honolulu, HI 96816-2952 | 2016-02-09 |
| 1871907006 | Kathleen E Sullivan | Behavioral Analyst | 118 35th St, Bellingham, WA 98225-6053 | 2014-06-16 |
| 1285057687 | Kathleen Sullivan | Registered Nurse | 2380 Timbercrest Cir W, Clearwater, FL 33763-1624 | 2014-01-22 |
| 1538436555 | Kathleen Sullivan | Speech-Language Pathologist | 301 Charlotte Ave, Hamburg, NY 14075-3857 | 2011-11-18 |
| 1396023388 | Kathleen T Sullivan | Occupational Therapist | 6678 County Road 32, Norwich, NY 13815-3554 | 2011-07-26 |
| 1912204322 | Kathleen Ann Sullivan | Speech-Language Pathologist | 3043 State Route 48, Oswego, NY 13126-5733 | 2011-02-21 |
| 1639320336 | Kathleen Connelly Sullivan | Physician Assistant | 2 Fogg Rd, Weymouth, MA 02190 | 2008-10-01 |
| 1306095955 | Kathleen M. Sullivan | Nurse Practitioner | 20511 Sunset Ln, Lago Vista, TX 78645-6245 | 2008-09-18 |
| 1356518492 | Kathleen C Sullivan | Licensed Practical Nurse | 340 Vincent St., Syracuse, NY 13210-3712 | 2008-05-08 |
| 1881874758 | Kathleen E Sullivan | Counselor | 12 Beach St, Saco, ME 04072-2802 | 2007-11-08 |
| Street Address |
3851 ROSECRANS ST STE K-08 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92110-3115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912533258 | Heather Louise Petersen | Social Worker | 3851 Rosecrans St Ste K-08, San Diego, CA 92110-3115 | 2020-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021713 | Ruben Daniel Gutierrez | Marriage & Family Therapist | 4141 Pacific Coast Hwy, San Diego, CA 92110 | 2019-09-10 |
| 1548724081 | Denise Ellen Thompson | Counselor | 3255 Wings Street, San Diego, CA 92110 | 2019-01-29 |
| 1801378716 | Michelle Lisa Jean Crawford | Student in an Organized Health Care Education/Training Program | 3767 Central Avenue, San Diego, CA 92110 | 2018-09-06 |
| 1427539048 | Allison Turrell | Case Manager/Care Coordinator | 4930 Naples Street, San Diego, CA 92110 | 2018-08-22 |
| 1750872768 | Matthew Langworthy | Physical Therapist | 3405 Kenyon St Ste 212, San Diego, CA 92110 | 2018-05-24 |
| 1245748342 | The One Health Boutique, LLC | Chiropractor | 5350 Riley St, San Diego, CA 92110 | 2018-01-11 |
| 1437670155 | Monique A Fernandez | Counselor | 3132 Jefferson Street, San Diego, CA 92110 | 2017-07-03 |
| 1538510391 | Mayu Winters | Registered Nurse | 853 Rosecrans St, San Diego, CA 92110 | 2016-06-23 |
| 1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
| 1912352576 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 3880 Rosecrans Street, San Diego, CA 92110 | 2016-05-02 |
| Find all providers in zip 92110 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275331 | Brenda L Curtis | Marriage & Family Therapist | 9191 Towne Centre Dr Ste 103, San Diego, CA 92122-1227 | 2020-11-07 |
| 1154921252 | Rayna Milner | Marriage & Family Therapist | 9308 Babauta Rd Apt 61, San Diego, CA 92129-4922 | 2020-10-28 |
| 1114525995 | Bethany Minick | Marriage & Family Therapist | 940 56th St, San Diego, CA 92114-1714 | 2020-10-13 |
| 1477160877 | Lucy Zhang | Marriage & Family Therapist | 6363 Beadnell Way Apt 249, San Diego, CA 92117-4164 | 2020-09-29 |
| 1679189161 | Lucy Wallace | Marriage & Family Therapist | 1265 Trieste Dr, San Diego, CA 92107-3957 | 2020-09-20 |
| 1871107417 | Giselle Romo | Marriage & Family Therapist | 3378 Redwood St, San Diego, CA 92104-4763 | 2020-09-01 |
| 1245849116 | Erica Ovington | Marriage & Family Therapist | 995 Gateway Center Way Ste 208, San Diego, CA 92102-4544 | 2020-07-27 |
| 1164048955 | Kristina Kalaya Clancy | Marriage & Family Therapist | 2333 1st Ave Ste 203, San Diego, CA 92101-1540 | 2020-06-17 |
| 1629692397 | Tlc Family Therapy | Marriage & Family Therapist | 5965 Village Way. Suite 105 #112, San Diego, CA 92130 | 2020-05-29 |
| 1245854983 | Rebecca Braunstein | Marriage & Family Therapist | 11342 Westonhill Dr, San Diego, CA 92126-1449 | 2020-05-28 |
| Find all providers in SAN DIEGO | ||||
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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.