DR. MICHELLE YVETTE SULLIVAN (NPI# 1003040858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003040858 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE YVETTE SULLIVAN |
| Credential | DPT |
| Practice Address |
288 Atchison St Pasadena CA 91104-1002 |
| Practice Telephone | 6267984050 |
| Practice Fax Number | 6267984050 |
| Mailing Telephone | 6267984050 |
| Mailing Fax Number | 6267984050 |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2009-05-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | PT27523 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271785 | Michelle Sullivan | Psychologist | 2419 44th Ave, San Francisco, CA 94116-2062 | 2020-10-02 |
| 1164900791 | Michelle Lori Sullivan | Advanced Practice Midwife | 1717 Dusty Boot Dr, Lafayette, CO 80026-1409 | 2018-08-06 |
| 1851726350 | Michelle Sullivan | Behavioral Analyst | 22 Wampatuck Ave, Scituate, MA 02066-2930 | 2013-09-04 |
| 1649613241 | Michelle Louise Sullivan | Licensed Practical Nurse | 2167 Danby Rd, Willseyville, NY 13864-1004 | 2013-04-12 |
| 1225207376 | Michelle Sullivan | Speech-Language Pathologist | 902 Lillieshall Rd, Waxhaw, NC 28173-6673 | 2008-02-22 |
| 1376727909 | Michelle Lyn Sullivan | Physical Therapist | 1023 Washington Ave, Portland, ME 04103-2793 | 2007-12-18 |
| 1912120247 | Michelle Sullivan | Marriage & Family Therapist | 221 W 26th St, Newton, NC 28658-2821 | 2007-04-11 |
| 1023120730 | Michelle K Sullivan | Speech-Language Pathologist | 3769 Ny-417, Jasper, NY 14855 | 2006-08-31 |
| 1134110760 | Michelle P Sullivan | Social Worker | 4700 North Las Vegas Boulevard, Mike O'callaghan Federal Medical Center, Nellis Air Force Base, NV 89191-6601 | 2005-11-02 |
| 1235137894 | Michelle Lee Sullivan | Psychologist | 2305 N Parham Rd, Suite 3, Richmond, VA 23229-3156 | 2005-07-08 |
| Street Address |
288 ATCHISON ST |
| City | PASADENA |
| State | CA |
| Zip Code | 91104-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093284382 | Jack Lee Johnson II | Counselor | 1680 North Fair Oaks, Pasadena, CA 91104 | 2018-11-16 |
| 1699257055 | Aqueelah Russell | Lactation Consultant, Non-RN | 855 N. Catalina Ave, Pasadena, CA 91104 | 2018-09-02 |
| 1053893529 | Jordann Ashley Stewart | Case Manager/Care Coordinator | 691 East Washington Blvd, Pasadena, CA 91104 | 2018-08-31 |
| 1942789706 | Elmer Caballero | Case Manager/Care Coordinator | 691 E Washington Blvd, Pasadena, CA 91104 | 2018-08-12 |
| 1649759648 | Orlando Javier Sava Jr. | Case Manager/Care Coordinator | 1395 E. Orange Grove Blvd, Pasadena, CA 91104 | 2018-08-09 |
| 1669923611 | Grandview Foundation, Inc. | Substance Abuse Rehabilitation Facility | 225 Grandview Street, Pasadena, CA 91104 | 2016-10-14 |
| 1255734166 | Linhua Wang-kim | Massage Therapist | 1028 N. Lake Ave., Suite 108c, Pasadena, CA 91104 | 2014-10-06 |
| 1477893782 | Med Tec Diagnostic Inc. | Clinic/Center | 1310 N. Mar Vista Unit 3, Pasadena, CA 91104 | 2013-02-22 |
| 1750631321 | Gordon Sheldall | Marriage & Family Therapist | 1495 N Lake Avenue, Pasadena, CA 91104 | 2012-09-11 |
| 1699024521 | Sherry Lynn Wait | Marriage & Family Therapist | 1495 N. Lake Ave., Pasadena, CA 91104 | 2012-09-06 |
| Find all providers in zip 91104 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215309208 | Pamela Antoinette Stewart | Specialist | 77 N Holliston Ave, Apt 4, Pasadena, CA 91106-1944 | 2015-10-29 |
| 1730579228 | Daniel Parsons | Specialist | 1001 Fairmont Pkwy Ste K, Pasadena, TX 77504-2970 | 2015-02-04 |
| 1346645512 | Neogenomics Laboratories Inc | Specialist | 840 Cameron Dr, Pasadena, CA 91106 | 2014-10-29 |
| 1306250808 | Naclaysia Mcgee | Specialist | 2230 White St, Pasadena, CA 91107-3260 | 2014-06-12 |
| 1194060905 | Foothill Vascular Center Inc | Specialist | 105 N Hill Ave, Suite 200, Pasadena, CA 91106-1916 | 2012-12-05 |
| 1225314834 | Harold Crespo-ferrer | Specialist | 1851 Brigden Rd, Pasadena, CA 91104-3216 | 2011-10-26 |
| 1255624946 | Thomas Gorman Allen | Specialist | 1155 Arden Rd, Pasadena, CA 91106-4143 | 2011-05-27 |
| 1740519677 | George Edward Morgan Jr. | Specialist | 425 South Fair Oaks Avenue, Suite A, Pasadena, CA 91105-2632 | 2009-12-24 |
| 1316103799 | Nima Naghshineh | Specialist | 625 S Fair Oaks Ave Ste 270, Pasadena, CA 91105-2668 | 2008-08-05 |
| 1396911608 | Vincent C Hung Md, Inc | Specialist | 452 N Altadena Drive, 200, Pasadena, CA 91107-2563 | 2008-05-06 |
| Find all providers in PASADENA | ||||
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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.