DR. LISA M PUPA-O'SULLIVAN


Address: 2164 Hwy 35, Bldg B - Ste 6, Sea Girt, NJ 08750
Phone: 7323597675

DR. LISA M PUPA-O'SULLIVAN (NPI# 1932156320) 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) 1932156320
Entity Type Individual
Full Name DR. LISA M PUPA-O'SULLIVAN
Credential PHD
Practice Address 2164 Hwy 35
Bldg B - Ste 6
Sea Girt
NJ 08750
Practice Telephone 7323597675
Practice Fax Number 7323597674
Mailing Telephone 7323597675
Mailing Fax Number 7323597674
Enumeration Date 2006-05-30
Last Update Date 2010-08-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
35SI00351200 NJ Behavioral Health & Social Service Providers

Office Location

Street Address 2164 HWY 35
BLDG B - STE 6
City SEA GIRT
State NJ
Zip Code 08750

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033297502 Barbara Michelle Chas Psychologist 700 Highway 71 Ste 2-5, Sea Girt, NJ 08750-2805 2006-11-01
1992012405 Lisa M Pupa Phd LLC Psychologist 2164 Highway 35 Bldg B, Sea Girt, NJ 08750-1013 2010-09-03
1922143627 Roger Thomas Raftery Psychologist 2130 Highway 35, Bldg A Suite 114, Sea Girt, NJ 08750-1010 2007-02-20

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Competitor

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City SEA GIRT
Zip Code 08750

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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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