Timothy R Sullivan (NPI# 1992827026, PAC ID# 0244268878) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1992827026 |
| PAC ID by PECOS | 0244268878 |
| Professional Enrollment ID | I20050803000789 |
| Full Name | Timothy R Sullivan |
| Organization Legal Name | NOVA PSYCHIATRIC SERVICE, P.C. |
| Address |
1261 Furnace Brook Pkwy Quincy MA 02169-4787 |
| Phone Number | 6174794545 |
| Gender | M |
| Credential | CSW |
| Medical School | BOSTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 4183524887 |
| Number of Group Practice Members | 33 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1261 Furnace Brook Pkwy, Quincy, MA 02169-4787 | 6174794545 | NOVA PSYCHIATRIC SERVICE, P.C. |
| 1261 Furnace Brook Pkwy, Suite 31, Quincy, MA 02169-4787 | 6174794545 | NOVA PSYCHIATRIC SERVICE, P.C. |
| Organization Legal Name | NOVA PSYCHIATRIC SERVICE, P.C. |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marysarah Frank | Clinical Nurse Specialist | Nova Psychiatric Service, P.C. | 1261 Furnace Brook Pkwy, Quincy, MA 02169-4787 |
| Bonny J Plowman | Nurse Practitioner | Nova Psychiatric Service, P.C. | 1261 Furnace Brook Pkwy, Suite 31, Quincy, MA 02169-4787 |
| Mari Stackpoole | Nurse Practitioner | Nova Psychiatric Service, P.C. | 1261 Furnace Brook Pkwy, Quincy, MA 02169-4787 |
| Matthew Eidukinas | Clinical Social Worker | Nova Psychiatric Service, P.C. | 1261 Furnace Brook Pkwy, Quincy, MA 02169-4787 |
| Catherine Farnam | Clinical Nurse Specialist | Nova Psychiatric Service, P.C. | 1261 Furnace Brook Pkwy, Suite 31, Quincy, MA 02169-4787 |
| Street Address |
1261 FURNACE BROOK PKWY |
| City | QUINCY |
| State | MA |
| Zip | 02169-4787 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie L Dalton | Nurse Practitioner | Nova Psychiatric Services, P.c | 1261 Furnace Brook Pkwy, Suite 31, Quincy, MA 02169-4787 |
| Elissa R Zonis | Clinical Social Worker | Nova Psychiatric Services, P.c | 1261 Furnace Brook Pkwy, Suite 31, Quincy, MA 02169-4787 |
| Carine M Luxama | Nurse Practitioner | Nova Psychiatric Services, P.c | 1261 Furnace Brook Pkwy, Suite 31, Quincy, MA 02169-4787 |
| Julion Marrinan | Psychologist, Clinical | Nova Psychiatric Services, P.c | 1261 Furnace Brook Pkwy, Suite 31, Quincy, MA 02169-4787 |
| Elizabeth S Waithira | Nurse Practitioner | Nova Psychiatric Services, P.c | 1261 Furnace Brook Pkwy, Suite 31, Quincy, MA 02169-4787 |
| Ursula I Henrichs | Clinical Social Worker | Nova Psychiatric Services, P.c | 1261 Furnace Brook Pkwy, Suite 31, Quincy, MA 02169-4787 |
| James J Cremins | Psychologist, Clinical | Nova Psychiatric Services, P.c | 1261 Furnace Brook Pkwy, Suite 31, Quincy, MA 02169-4787 |
| Zuhayr S Hemady | Allergy/immunology | 1261 Furnace Brook Pkwy, Suite 33, Quincy, MA 02169-4762 | |
| Katherine R Lou | Psychologist, Clinical | Nova Psychiatric Services, P.c | 1261 Furnace Brook Pkwy, Suite 31, Quincy, MA 02169-4787 |
| Raymond Colella | Psychiatry | Nova Psychiatric Services, P.c | 1261 Furnace Brook Pkwy, Suite 31, Quincy, MA 02169-4787 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Hannon Baron | Certified Nurse Midwife | South Shore Ob-gyn Hanover Ob-gyn Inc. | 21 Mayor Mcgrath Hwy, Quincy, MA 02169 |
| Camden Marcotte | Physical Therapy | Peak Physical Therapy Inc | 2300 Crown Colony Dr, Suite 102, Quincy, MA 02169-0902 |
| Cynthia Wisted | Physical Therapy | Peak Physical Therapy Inc | 2300 Crown Colony Dr, Suite 102, Quincy, MA 02169-0902 |
| Kaylee Lecavalier | Physical Therapy | Peak Physical Therapy Inc | 2300 Crown Colony Dr, Suite 102, Quincy, MA 02169-0902 |
| Samuel Kushner | Physical Therapy | Peak Physical Therapy Inc | 2300 Crown Colony Dr, Suite 102, Quincy, MA 02169-0902 |
| Donna Chiao | Physical Therapy | Peak Physical Therapy Inc | 2300 Crown Colony Dr, Suite 102, Quincy, MA 02169-0902 |
| Kellie Fokin | Physical Therapy | Peak Physical Therapy Inc | 2300 Crown Colony Dr, Suite 102, Quincy, MA 02169-0902 |
| Matthew Haley | Physical Therapy | Peak Physical Therapy Inc | 2300 Crown Colony Dr, Suite 102, Quincy, MA 02169-0902 |
| Zachary Wagner | Physical Therapy | Peak Physical Therapy Inc | 2300 Crown Colony Dr, Suite 102, Quincy, MA 02169-0902 |
| Gary C Kimball | Physical Therapy | South Shore Sports and Muscular | 300 Congress St, Quincy, MA 02169-0907 |
| Find all physicians in zip 02169 | |||
| City | QUINCY |
| Zip Code | 02169 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | QUINCY + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Timothy R Sullivan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.