DR. MOLLY SULLIVAN (NPI# 1841413283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841413283 |
| Entity Type | Individual |
| Full Name | DR. MOLLY SULLIVAN |
| Credential | PH.D. |
| Practice Address |
1600 Shattuck Ave #200 Berkeley CA 94709-1634 |
| Mailing Address |
1639 Virginia St Berkeley CA 94703-1233 |
| Practice Telephone | 5105486541 |
| Mailing Telephone | 5108458014 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY14382 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275162554 | Molly Sullivan | Student in an Organized Health Care Education/Training Program | 3930 The Vanderbilt Clinic 1301 Medical Center Drive, Nashville, TN 37232-0001 | 2020-04-07 |
| 1457919037 | Molly Breck Sullivan | Counselor | 982 Mission St, San Francisco, CA 94103-2911 | 2019-05-30 |
| 1306409990 | Molly Sullivan | Physical Therapist | 8737 Colesville Rd, Silver Spring, MD 20910-3928 | 2019-04-18 |
| 1366980815 | Molly Ambler Sullivan | Nurse Practitioner | 110 Irving St Nw, Washington, DC 20010-3017 | 2017-02-05 |
| 1265983316 | Molly Sullivan | Nurse Practitioner | 350 W Woodrow Wilson Ave, Jackson, MS 39213-7681 | 2016-10-24 |
| 1679679906 | Molly Ann Sullivan | Radiology | 27 Park St, Cape Cod Hospital/radiation Oncology Dept., Hyannis, MA 02601-5230 | 2006-09-15 |
| Street Address |
1600 SHATTUCK AVE #200 |
| City | BERKELEY |
| State | CA |
| Zip Code | 94709-1634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417013517 | Margaret S Cavalli | Psychologist | 1600 Shattuck Ave, Suite 200, Berkeley, CA 94709-1634 | 2006-12-31 |
| 1417495961 | Ryan Charles Hoffman | Marriage & Family Therapist | 1600 Shattuck Ave, Suite 200, Berkeley, CA 94709-1634 | 2017-02-04 |
| 1447658695 | Maegan Willan | Marriage & Family Therapist | 1600 Shattuck Ave, Suite 200, Berkeley, CA 94709-1634 | 2014-12-19 |
| 1780982736 | Israel E Perla | Marriage & Family Therapist | 1600 Shattuck Ave, Berkeley, CA 94709-1634 | 2011-02-28 |
| 1578895512 | Rabea Chaudhary | Marriage & Family Therapist | 1600 Shattuck Ave, Suite #200, Berkeley, CA 94709-1634 | 2010-02-01 |
| 1902134067 | Ali Miller | Marriage & Family Therapist | 1600 Shattuck Ave, Suite 200, Berkeley, CA 94709-1634 | 2009-12-01 |
| 1154520435 | Judith Ann Solomon | Psychologist | 1600 Shattuck Ave, Suite 200, Berkeley, CA 94709-1634 | 2007-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144868647 | Komalpreet Kaur | Pharmacist | 1444 Shattuck Place, Berkeley, CA 94709 | 2019-12-16 |
| 1689189763 | Lynn Rubin | Marriage & Family Therapist | 1524 Henry St., Berkeley, CA 94709 | 2017-12-11 |
| 1750825154 | Stacy Taniguchi | Psychologist | 2000 Hearst Ave Ste 207, Berkeley, CA 94709 | 2016-12-05 |
| 1558804708 | Tylynn Ludwig | Dietitian, Registered | 1525 Shattuck Ave Ste G, Berkeley, CA 94709 | 2016-11-21 |
| 1528316171 | Leeat Zwick-louvton | Physical Therapist | 2209 Glen Ave, Berkeley, CA 94709 | 2012-08-29 |
| 1497016588 | City of Berkeley | Case Management | 1901 Hearst Street, Berkeley, CA 94709 | 2012-06-05 |
| 1841591914 | Dana Carr | Psychologist | 1078 Shattuck Avenue, #6, Berkeley, CA 94709 | 2010-11-05 |
| 1568639565 | Harry Joseph Lieberman | Marriage & Family Therapist | 1933 Rose St, Berkeley, CA 94709 | 2008-05-09 |
| 1780806935 | Martha W Knobler | Marriage & Family Therapist | 2045 Francisco Street, Berkeley, CA 94709 | 2007-05-03 |
| 1578690830 | Alice H Brown | Counselor | 1607 Walnut Street # One, Berkeley, CA 94709 | 2007-02-27 |
| Find all providers in zip 94709 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184241754 | Bede John Healey | Psychologist | 1371 La Loma Ave, Berkeley, CA 94708-2031 | 2020-06-30 |
| 1124683388 | Jason Craig Zeltser | Psychologist | 1708 Shattuck Ave Ste 9, Berkeley, CA 94709-1700 | 2019-05-03 |
| 1871157016 | Mary L Roche | Psychologist | 2955 Shattuck Ave Ste 3, Berkeley, CA 94705-1808 | 2019-04-23 |
| 1508320128 | Lauren Tolk | Psychologist | 1172 San Pablo Ave Ste 100, Berkeley, CA 94706-2258 | 2019-01-28 |
| 1336632876 | Jonathan Knight Howard | Psychologist | 2407 Dana St, Berkeley, CA 94704-2207 | 2018-06-09 |
| 1457866550 | Noah Bach Bar-tura | Psychologist | 2140 Shattuck Ave Ste 508, Berkeley, CA 94704-1222 | 2017-12-11 |
| 1750825154 | Stacy Taniguchi | Psychologist | 2000 Hearst Ave Ste 207, Berkeley, CA 94709 | 2016-12-05 |
| 1881048775 | Phillip Montes | Psychologist | 2014 Channing Way Apt 3, Berkeley, CA 94704-1935 | 2016-04-18 |
| 1790199446 | Irene Chui | Psychologist | 1197 Sutter St, Berkeley, CA 94707-2637 | 2014-06-19 |
| 1629322763 | Roxanne Manning | Psychologist | 1325 Sacramento St, Apt 3, Berkeley, CA 94702-1235 | 2012-10-26 |
| Find all providers in BERKELEY | ||||
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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.