KRISTA MARIE SULLIVAN (NPI# 1912212796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912212796 |
| Entity Type | Individual |
| Full Name | KRISTA MARIE SULLIVAN |
| Practice Address |
15 W Main St Cambridge NY 12816-1168 |
| Mailing Address |
15 Thomas St Salem NY 12865-9710 |
| Practice Telephone | 5183210777 |
| Mailing Telephone | 5183210777 |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2010-08-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225600000X | Dance Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558918292 | Krista Marie Sullivan | Behavioral Analyst | 1449 37th St Ste 100, Brooklyn, NY 11218-4380 | 2019-08-19 |
| 1902190028 | Krista Maes Sullivan | Pharmacist | 7400 S Gartrell Rd, Aurora, CO 80016-4236 | 2011-06-06 |
| Street Address |
15 W MAIN ST |
| City | CAMBRIDGE |
| State | NY |
| Zip Code | 12816-1168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780019331 | With Woman Wellness Midwifery, Pllc | Advanced Practice Midwife | 15 W Main St, Suite B, Cambridge, NY 12816-1168 | 2013-09-13 |
| 1770600231 | Chris O'brien Palinski | Psychologist | 15 W Main St, Cambridge, NY 12816-1118 | 2007-03-22 |
| 1265567812 | Bryan Mattison and Rojek Ptrs | Optometrist | 15 W Main St, Cambridge, NY 12816-1152 | 2007-02-23 |
| 1336299130 | Susan Vincent Cox | Counselor | 15 W Main St, Cambridge, NY 12816-1118 | 2007-01-12 |
| 1972668663 | Edward Stephen Dick | Social Worker | 15 W Main St, Cambridge, NY 12816-1118 | 2006-12-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558477596 | Ellen Marie Biggers | Obstetrics & Gynecology | 22 North Park Street, Cambridge, NY 12816 | 2006-08-22 |
| 1750385381 | Joanne Steele | Nurse Practitioner | 57 W Main St, Cambridge, NY 12816 | 2005-06-10 |
| 1700877149 | Brian Marc Resnik | Physician Assistant | 35 Gilbert St, Cambridge, NY 12816 | 2005-11-03 |
| 1669513685 | Francis Stanley Pultorak | Dentist | 14 Myrtle Ave, Cambridge, NY 12816-1004 | 2007-02-11 |
| 1104442839 | Icc Management & Consulting, Inc | Assisted Living Facility | 11 S Union St, Cambridge, NY 12816-1008 | 2020-06-18 |
| 1861640526 | Bridget O Rowan | Pharmacist | 55 W Main St, Cambridge, NY 12816-1021 | 2008-09-05 |
| 1457433260 | Ohearns Pharmacy Inc | Pharmacist | 55 W Main St, Cambridge, NY 12816-1021 | 2006-10-20 |
| 1518935741 | Heather K Alden | Chiropractor | 57 W Main St, Cambridge, NY 12816-1021 | 2006-03-14 |
| 1699094656 | Michael Fredrick Bohley | Counselor | 84 W Main St, Suite 2, Cambridge, NY 12816-1086 | 2010-05-28 |
| 1154501872 | David Lester | Pharmacist | 2 N Park St, Cambridge, NY 12816-1105 | 2007-11-09 |
| Find all providers in zip 12816 | ||||
| Taxonomy Code | 225600000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Dance Therapist |
| The dance therapist, sometimes called a movement therapist, focuses on rhythmic body movements as a medium of physical and psychological change. Dance therapy is practiced more often with mental health patients than with physically disabled patients. A master’s degree is required by the American Dance Therapy Association to award the credentials Dance Therapist Registered (DTR). |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811102 | Krisja Hendricks | Dance Therapist | 978 Metropolitan Ave Apt 2, Brooklyn, NY 11211-2635 | 2020-11-05 |
| 1023615747 | Winnie Ming Wong | Dance Therapist | 451 Clarkson Ave R Building, Idd/mh Unit, R5west, Brooklyn, NY 11203 | 2020-10-06 |
| 1184238222 | Meredith Casimiro | Dance Therapist | 49 Wyckoff Ave, Brooklyn, NY 11237-8001 | 2020-09-05 |
| 1265052807 | Elissaveta G Iordanova | Dance Therapist | 2588 Ac Powell Blvd Apt 3m, New York, NY 10039-2607 | 2020-04-23 |
| 1902436454 | Alana Rock | Dance Therapist | 1188 Lincoln Pl Apt D4, Brooklyn, NY 11213-3543 | 2020-01-23 |
| 1114561339 | Carla Feldschuh | Dance Therapist | 526 W 26th St Rm 715, New York, NY 10001-5524 | 2019-10-30 |
| 1811458458 | Neha Reddy | Dance Therapist | 500 W 56th St Apt 923, New York, NY 10019-3569 | 2019-03-27 |
| 1124534813 | Suzanne Garrison Ehinger | Dance Therapist | 36 Plaza St E Ste 1g, Brooklyn, NY 11238-5039 | 2017-12-18 |
| 1942713003 | Joan Wittig | Dance Therapist | 526 W 26th St Rm 309, New York, NY 10001-5518 | 2017-11-13 |
| 1689199176 | Jessica Erin Asch | Dance Therapist | 448 7th Ave, Brooklyn, NY 11215-5514 | 2017-08-07 |
| Find all providers with the same taxonomy | ||||
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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.