MICHAEL ROBERT SULLIVAN (NPI# 1003288796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003288796 |
Entity Type | Individual |
Full Name | MICHAEL ROBERT SULLIVAN |
Credential | MSW |
Practice Address |
107 S Division St Spokane WA 99202-1510 |
Practice Telephone | 5098384651 |
Mailing Telephone | 5098384651 |
Enumeration Date | 2015-10-21 |
Last Update Date | 2018-12-03 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | CG60648868 | WA | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
14525 N Newport Hwy, Mead, WA 990219636 | 5093409643 | 5093689764 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366918617 | Michael David Sullivan | Social Worker | 403 1/2 Hector St, Ithaca, NY 14850-2025 | 2018-10-15 |
1376923292 | Michael Sullivan | Student in an Organized Health Care Education/Training Program | Walter Reed 8901 Rockville Pike, Bethesda, MD 20889-0001 | 2015-06-05 |
1881074896 | Michael Gregory Sullivan | Intermediate Care Facility, Mentally Retarded | 30 Hobomack Rd, Quincy, MA 02169-2508 | 2015-06-04 |
1104215136 | Michael Sullivan | Perfusionist | 137 Founders Way Ct, Cape Girardeau, MO 63701-9442 | 2015-01-14 |
1689927915 | Michael Robert Sullivan | Pharmacist | 41 Buena Vista St, Stamford, CT 06907-2402 | 2012-10-24 |
1154672038 | Michael James Sullivan | Dentist | 1882 Hard Rd, Columbus, OH 43235-1996 | 2012-10-02 |
1063791747 | Michael Gruer Sullivan | Counselor | 2024 N. Crystal Lake Dr., Suite 200 Room 205, Lakeland, FL 33801-6015 | 2011-08-11 |
1457647083 | Michael Patrick Sullivan | Dentist | 1008 G Sreet, Geneva, NE 68361 | 2011-06-22 |
1841528585 | Michael Andrew Sullivan | Counselor | 974 73rd St Ste 9, Windsor Heights, IA 50324-1026 | 2009-11-18 |
1508191388 | Michael Joseph Sullivan | Audiologist | 6644 Penn Ave S, Richfield, MN 55423-2026 | 2009-10-12 |
Street Address |
107 S DIVISION ST |
City | SPOKANE |
State | WA |
Zip Code | 99202-1510 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861495327 | Frontier Behavioral Health | Clinical Nurse Specialist | 107 S Division St, Spokane, WA 99202 | 2005-05-27 |
1649887506 | Caroline Bickford | Student in an Organized Health Care Education/Training Program | 107 S Division St, Spokane, WA 99202-1510 | 2020-09-25 |
1932716891 | Cecelia J Mashburn | Student in an Organized Health Care Education/Training Program | 107 S Division St, Spokane, WA 99202-1510 | 2020-09-24 |
1386251239 | Taylor Nicole Rush | Student in an Organized Health Care Education/Training Program | 107 S Division St, Spokane, WA 99202-1510 | 2020-09-24 |
1801402920 | Lydia M Buchanan | Student in an Organized Health Care Education/Training Program | 107 S Division St, Spokane, WA 99202-1510 | 2020-09-23 |
1396352480 | Rachelle F Ripley | Student in an Organized Health Care Education/Training Program | 107 S Division St, Spokane, WA 99202-1510 | 2020-09-23 |
1568078285 | William G Longpre | Student in an Organized Health Care Education/Training Program | 107 S Division St, Spokane, WA 99202-1510 | 2020-09-17 |
1528674249 | Jacquelyn L Poe | Student in an Organized Health Care Education/Training Program | 107 S Division St, Spokane, WA 99202-1510 | 2020-09-17 |
1396351268 | Holly Buche | Student in an Organized Health Care Education/Training Program | 107 S Division St, Spokane, WA 99202-1510 | 2020-09-16 |
1881208122 | Brennan Champagne | Student in an Organized Health Care Education/Training Program | 107 S Division St, Spokane, WA 99202-1510 | 2020-09-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669099552 | Morgan Physiotherapy, Pllc | Physical Therapist | 716 South Arthur Street, Spokane, WA 99202 | 2020-06-26 |
1659926863 | Hiliary Beatty | Marriage & Family Therapist | 3101 E Boone Avenue, Spokane, WA 99202 | 2019-08-05 |
1992359301 | Jennifer Pelzel | Pharmacist | Pbs, 205 E Spokane Falls Blvd, Spokane, WA 99202 | 2019-07-25 |
1750858171 | Elyse M Tullar | Counselor | 3101 E Boone Ave, Spokane, WA 99202 | 2018-10-24 |
1952830333 | Kaleb E Walker | Case Manager/Care Coordinator | 1002 N Superior, Spokane, WA 99202 | 2017-06-08 |
1659823987 | Laura Lenoue | Chiropractor | 301 E Sharp, Lenoue Integrative Medicine, Spokane, WA 99202 | 2016-11-03 |
1376095141 | Clinton George Ralph | Counselor | 624 S Cowley, Spokane, WA 99202 | 2016-10-27 |
1144772245 | Megan Nicole Korst | Counselor | 104 S. Freya, Red Flag Bldg, Suite 101b, Spokane, WA 99202 | 2016-10-25 |
1043766652 | Moffitt Children's Dentistry | Dentist | 520 S Cowley St Ste 101, Spokane, WA 99202 | 2016-09-01 |
1881147296 | Natalie Stine | Dietitian, Registered | 203 E Spague Avenue, Spokane, WA 99202 | 2016-08-02 |
Find all providers in zip 99202 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437750817 | Nw Family Psychology Rock Pointe | Counselor | 1212 N Washington St Ste 105, Spokane, WA 99201-2441 | 2020-11-03 |
1760953384 | Nicole Renee Breesnee | Counselor | 2308 W. 3rd Ave, Spokane, WA 99201 | 2018-12-07 |
1396213013 | Alana Rae Nelson | Counselor | 2102 E Sprague Ave # Westwg, Spokane, WA 99202-3125 | 2018-11-12 |
1568930378 | Tricia Louise Molloy | Counselor | 711 E 33rd Ave, Spokane, WA 99203-3127 | 2018-11-09 |
1982172086 | Nicholas Blaine Nomura Lauderdale | Counselor | 5901 N Lidgerwood St, Suite 115, Spokane, WA 99208-1510 | 2018-11-06 |
1548738644 | Collin Ross Keating | Counselor | 505 E North Foothills Dr Ste 300, Spokane, WA 99207-2101 | 2018-11-06 |
1275001778 | Craig Allen Hansen | Counselor | 505 E Foothills Dr Ste 300, Spokane, WA 99207-2101 | 2018-11-02 |
1831692581 | Rick Kienholz | Counselor | 319 W Hastings Rd Ste A110, Spokane, WA 99218-5021 | 2018-03-08 |
1720537475 | Kyle Shane Bailey | Counselor | 5901 N Lidgerwood St Ste 115, Spokane, WA 99208-1122 | 2016-09-22 |
1720431059 | Sean P Barrett | Counselor | 705 W 7th Ave Ste 1c, Spokane, WA 99204-2836 | 2016-07-21 |
Find all providers in SPOKANE |
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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.