Mary Anna Sullivan (NPI# 1295759249, PAC ID# 6608822663) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1295759249 |
| PAC ID by PECOS | 6608822663 |
| Professional Enrollment ID | I20050323000839 |
| Full Name | Mary Anna Sullivan |
| Organization Legal Name | NORTHEAST BEHAVIORAL HEALTH CORPORATION |
| Address |
41 Mason St Salem MA 01970-2260 |
| Phone Number | 9787452440 |
| Gender | F |
| Credential | MD |
| Medical School | COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS |
| Graduation Year | 1980 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 0446155808 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220171 | LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON |
| Address | Phone | Organization |
|---|---|---|
| 41 Mall Rd, Burlington, MA 01805-0001 | 7817445100 | LAHEY CLINIC, INC. |
| 41 Mason St, Salem, MA 01970-2260 | 9787452440 | NORTHEAST BEHAVIORAL HEALTH CORPORATION |
| Organization Legal Name | NORTHEAST BEHAVIORAL HEALTH CORPORATION |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie E Rouse | Clinical Social Worker | Northeast Behavioral Health Corporation | 41 Mason St, Salem, MA 01970-2260 |
| Kimberly A Obrien | Nurse Practitioner | Northeast Behavioral Health Corporation | 800 Cummings Ctr, 266t, Beverly, MA 01915-6172 |
| Lucy S Hall | Clinical Social Worker | Northeast Behavioral Health Corporation | 12 Methuen St, Lawrence, MA 01840-1700 |
| Janine L Post-anderle | Nurse Practitioner | Northeast Behavioral Health Corporation | 60 Merrimack St, Haverhill, MA 01830-6207 |
| Jane T Schwartz | Psychiatry | Northeast Behavioral Health Corporation | 298 Washington St, Gloucester, MA 01930-4832 |
| Allison E Harren | Clinical Social Worker | Northeast Behavioral Health Corporation | 298 Washington St, Gloucester, MA 01930-4832 |
| Matthew J Box | Clinical Social Worker | Northeast Behavioral Health Corporation | 41 Mason St, Salem, MA 01970-2260 |
| Caryn P Berman | Clinical Social Worker | Northeast Behavioral Health Corporation | 41 Mason St, Salem, MA 01970-2260 |
| Eric Eid-reiner | Clinical Social Worker | Northeast Behavioral Health Corporation | 41 Mason St, Salem, MA 01970-2260 |
| Lee D Fuoco | Clinical Social Worker | Northeast Behavioral Health Corporation | 41 Mason St, Salem, MA 01970-2260 |
| Street Address |
41 MASON ST |
| City | SALEM |
| State | MA |
| Zip | 01970-2260 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie E Rouse | Clinical Social Worker | Northeast Behavioral Health Corporation | 41 Mason St, Salem, MA 01970-2260 |
| Matthew J Box | Clinical Social Worker | Northeast Behavioral Health Corporation | 41 Mason St, Salem, MA 01970-2260 |
| Caryn P Berman | Clinical Social Worker | Northeast Behavioral Health Corporation | 41 Mason St, Salem, MA 01970-2260 |
| Eric Eid-reiner | Clinical Social Worker | Northeast Behavioral Health Corporation | 41 Mason St, Salem, MA 01970-2260 |
| Lee D Fuoco | Clinical Social Worker | Northeast Behavioral Health Corporation | 41 Mason St, Salem, MA 01970-2260 |
| Keisha M Kenny Doyle | Clinical Social Worker | Northeast Behavioral Health Corporation | 41 Mason St, Salem, MA 01970-2260 |
| Szymon M Sojka | Clinical Social Worker | Northeast Behavioral Health Corporation | 41 Mason St, Salem, MA 01970-2260 |
| Stephen Zeldow | Clinical Social Worker | Northeast Behavioral Health Corporation | 41 Mason St, Salem, MA 01970-2260 |
| Darcie A Setera | Clinical Social Worker | Northeast Behavioral Health Corporation | 41 Mason St, Salem, MA 01970-2260 |
| Suzanne S Goldberg | Clinical Social Worker | Northeast Behavioral Health Corporation | 41 Mason St, Salem, MA 01970-2260 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah E Kane | Pathology | Urology Consultants of Ns | 400 Highland Ave, Suite 6, Salem, MA 01970-1783 |
| Yineng Fu | Pathology | Urology Consultants of Ns | 400 Highland Ave, Suite 6, Salem, MA 01970-1783 |
| Michele M Herrera | Physician Assistant | Urology Consultants of Ns | 400 Highland Ave, Suite 6, Salem, MA 01970-1783 |
| Noel P Defelippo | Urology | Urology Consultants of Ns | 400 Highland Ave, Suite 6, Salem, MA 01970-1783 |
| Mandy Ladner | Nurse Practitioner | Urology Consultants of Ns | 400 Highland Ave, Suite 6, Salem, MA 01970-1783 |
| Sheaumei Tsai | Urology | Urology Consultants of Ns | 400 Highland Ave, Suite 6, Salem, MA 01970-1783 |
| Mark A Tulecke | Pathology | Urology Consultants of Ns | 400 Highland Ave, Suite 6, Salem, MA 01970-1783 |
| Randall Patkin | Ophthalmology | Eye Center of The North Shore, LLC | 400 Highland Ave, Suite 20, Salem, MA 01970-1783 |
| Michael C Kearney | Urology | Urology Consultants of Ns | 400 Highland Ave, Suite 6, Salem, MA 01970-1783 |
| Graziella M Abu Jawdeh | Pathology | Urology Consultants of Ns | 400 Highland Ave, Suite 6, Salem, MA 01970-1783 |
| Find all physicians in zip 01970 | |||
| City | SALEM |
| Zip Code | 01970 |
| Specialty | PSYCHIATRY |
| City + Specialty | SALEM + PSYCHIATRY |
Please comment or provide details below to improve the information on Mary Anna 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.