EVELYN R SULLIVAN


Address: 2653 Sw 87th Dr, Suite A, Gainesville, FL 32608-9313
Phone: 3523310020

EVELYN R SULLIVAN (NPI# 1871697110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871697110
Entity Type Individual
Full Name EVELYN R SULLIVAN
Credential PHD
Practice Address 2653 Sw 87th Dr
Suite A
Gainesville
FL 32608-9313
Practice Telephone 3523310020
Practice Fax Number 3523310022
Mailing Telephone 3523310020
Mailing Fax Number 3523310022
Enumeration Date 2006-09-08
Last Update Date 2010-11-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist PY0005750 FL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
BCBS FL 54357 01

Other Providers EVELYN SULLIVAN

NPI Name Taxonomy Address Enumeration
1659835908 Evelyn Sullivan Counselor 1600 Broad Ave, Gulfport, MS 39501-3603 2019-01-30
1699862250 Evelyn Sullivan Social Worker 700 Airport Rd, Lakewood, NJ 08701-5907 2006-10-06

Office Location

Street Address 2653 SW 87TH DR
SUITE A
City GAINESVILLE
State FL
Zip Code 32608-9313

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699776070 Tamara Lynn Martin Psychologist 2653 Sw 87th Dr, Suite A, Gainesville, FL 32608-9313 2005-08-09
1831500727 Tamara L Martin LLC Psychologist 2653 Sw 87th Dr, Suite A, Gainesville, FL 32608-9313 2014-05-13
1629316302 Jacquelynn Lamb Counselor 2653 Sw 87th Dr, Suite A, Gainesville, FL 32608-9313 2013-01-30
1215232640 Mary Beardall Smith Psychologist 2653 Sw 87th Dr, Suite A, Gainesville, FL 32608-9313 2011-01-15
1609000157 Acupuncture Center of North Florida LLC Acupuncturist 2653 Sw 87th Dr, Suite A, Gainesville, FL 32608-9313 2009-05-13
1306081369 Michelle Marie Bishop Psychologist 2653 Sw 87th Dr, Suite A, Gainesville, FL 32608-9313 2008-12-04
1659524361 Lori Russ-eisenschenk Psychologist 2653 Sw 87th Dr, Suite A, Gainesville, FL 32608-9313 2008-10-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609426758 Earlene Mae Anderson Technician 7770 Sw 47th Lane, Gainesville, FL 32608 2019-09-19
1588214720 Jimmie Lee Crawford Technician 7427 Sw 63rd Terrace, Gainesville, FL 32608 2019-09-19
1306495346 Lori Turbow Technician 2600 Sw Willingston Rd, Apt. 801, Gainesville, FL 32608 2019-09-11
1285281527 Advance Best Care Medical Services LLC In Home Supportive Care 5745 Southwest 76th Street, Suite 250, Gainesville, FL 32608 2019-08-21
1669948097 Eric Scott Traub Genetic Counselor, MS 1699 Sw 16th Avenue, Building A, Cms B2334, Gainesville, FL 32608 2018-10-24
1457834053 Riverswarmingtouch LLC Adult Companion 2220 Sw 34th Street, Apt 125, Gainesville, FL 32608 2018-09-10
1811481252 Anthony Farmer Dentist 3100 Sw 35th Pl Apt 18a, Gainesville, FL 32608 2018-06-19
1184112823 Zoraida Vazquez Early Intervention Provider Agency 7117 Sw Archer Rd Lot 2121, Gainesville, FL 32608 2018-04-27
1942739214 Brittany R Brown Homemaker 2908 Sw 38th Place, Gainesville, FL 32608 2017-06-08
1639605801 Touch of Care,llc Home Health 6040 Sw 63rd Blvd, Gainesville, FL 32608 2017-05-10
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912506924 Emily F. Hoon, Phd, Pllc Psychologist 2531 Nw 41st Street, Suite C, Gainesville, FL 32606-7490 2020-10-21
1083103022 Lindsey Bowman Psychologist University of Florida 1600 Sw Archer Rd G-901, Gainesville, FL 32610-0001 2018-05-04
1538603964 Angela Koivula Psychologist 111 Se 1st Ave Ste 160, Gainesville, FL 32601-9914 2016-12-04
1851704324 Mary L. Horn, Phd Psychologist 2131 Nw 40th Ter Ste C, Gainesville, FL 32605-5800 2014-06-03
1497184121 Sherry Diane Broadwell Psychologist 517b Green Street, Gainesville, GA 30501 2013-11-04
1326396755 London Butterfield Psychologist 2121 B Nw Terr, Gainesville, FL 32605-5813 2012-08-15
1548573272 Monika Bigler Rosier Psychologist 1810 Nw 6th St Ste C, Gainesville, FL 32609 2010-07-22
1922335017 Michelle M. Bishop, Phd, LLC Psychologist 2653 Sw 87th Dr Ste A, Gainesville, FL 32608-9313 2009-11-10
1770818924 Evangelia Banou Psychologist 101 S Newell Dr Rm 3151, Gainesville, FL 32611-0001 2009-10-06
1538321468 Susan Elizabeth Davis Psychologist 912 Nw 57th St Ste B, Gainesville, FL 32605-6425 2008-07-01
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Competitor

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City GAINESVILLE
Zip Code 32608

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Dataset Information

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.

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