MR. JOSEPH DAVID SULLIVAN (NPI# 1063526325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063526325 |
Entity Type | Individual |
Full Name | MR. JOSEPH DAVID SULLIVAN |
Credential | L.P.C. |
Practice Address |
1701 Centerview Dr Ste 102 Little Rock AR 72211-4311 |
Practice Telephone | 5012240318 |
Mailing Telephone | 5012240318 |
Enumeration Date | 2006-08-17 |
Last Update Date | 2019-08-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
P0211045 | AR | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | LPC LICENSE NUMBER | P0211045 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104107903 | Joseph Vincent Sullivan | Dentist | 9221 Sandifur Pkwy, Suite B, Pasco, WA 99301-9241 | 2011-09-07 |
1427296375 | Joseph M. Sullivan | Podiatrist | 2144 Capewood Dr, Huddleston, VA 24104-3430 | 2009-01-30 |
1578642138 | Joseph C Sullivan IIi | Chiropractor | 17 Leonard St, Smithtown, NY 11787-1015 | 2006-11-03 |
1982691689 | Joseph Wynn Sullivan | Internal Medicine | 600 Zeagler Dr, Palatka, FL 32177-3811 | 2005-09-29 |
1518953710 | Joseph Brian Sullivan | Internal Medicine | 620 Washington St, Suite A, Franklin, MA 02038-3300 | 2005-09-22 |
1255326690 | Joseph B. Sullivan | Optometrist | 8118 E Douglas Ave, Suite 107, Wichita, KS 67206-2364 | 2005-09-13 |
1336682418 | Joseph Sullivan | Chiropractor | 10160 W 50th Ave, Ste 4, Wheat Ridge, CO 80033-2339 | 2016-11-22 |
1437497856 | Joseph Sullivan | Rehabilitation Counselor | 895 Roberta Ln, Suite 101, Sparks, NV 89431-6802 | 2013-01-18 |
1295022903 | Joseph Sullivan | Surgery | 2000 E Layton Ave, St Francis, WI 53235-6053 | 2011-07-01 |
1881909836 | Joseph Andrew Sullivan | Case Manager/Care Coordinator | 1500 Ne Irving St, Portland, OR 97232-2243 | 2010-08-15 |
Street Address |
1701 CENTERVIEW DR STE 102 |
City | LITTLE ROCK |
State | AR |
Zip Code | 72211-4311 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760004618 | Samantha Lenore Hilborn | Behavior Technician | 1525 Merrill Drive Suite 100, Little Rock, AR 72211 | 2020-05-14 |
1003437740 | Centers for Youth and Families, Inc. | Community/Behavioral Health | 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 | 2020-05-05 |
1962040568 | Erica N Taylor | Nurse Practitioner | 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 | 2019-12-13 |
1568932119 | Katie Jones | Nurse Practitioner | 1children's Way, Little Rock, AR 72211 | 2018-11-27 |
1356828651 | Kayleigh King | Dietitian, Registered | 4 Shackleford Plz Ste 209, Little Rock, AR 72211 | 2018-07-19 |
1699283838 | Kara Elizabeth Simmons | Physician Assistant | 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 | 2018-01-22 |
1194241463 | Wendy Newsam Pllc | Counselor | 1 Innwood Circle, Suite 107, Little Rock, AR 72211 | 2017-08-18 |
1861915159 | Sarah Renee Beall | Counselor | 10800 Financial Centre #290, Little Rock, AR 72211 | 2017-07-19 |
1457873127 | Restore Hope Counseling Center, Pllc | Counselor | One Innwood Circle, Suite 201, Little Rock, AR 72211 | 2017-07-13 |
1447707500 | University of Arkansas for Medical Sciences | Durable Medical Equipment & Medical Supplies | 601 Autumn Road, Little Rock, AR 72211 | 2016-09-07 |
Find all providers in zip 72211 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487290888 | John Hunter Bramlitt | Counselor | 12320 I-30, Little Rock, AR 72210 | 2019-11-20 |
1114562071 | Ariel Brown | Counselor | 10 Remington Dr, Little Rock, AR 72204-8202 | 2019-11-14 |
1972159267 | Arkansas Baptist Children's Homes and Family Ministries | Counselor | 12400 I-30, Little Rock, AR 72210 | 2019-08-13 |
1518526664 | James Wesley Johnson Jr. | Counselor | 415 N Mckinley St Ste 520, Little Rock, AR 72205-3175 | 2019-06-12 |
1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
1255886560 | Amelia H Lewis | Counselor | 12115 Hinson Rd Ste 400, Little Rock, AR 72212-3476 | 2016-08-17 |
1003234675 | Jill Gorman Lpc LLC | Counselor | 1501 N University Ave Ste 700, Little Rock, AR 72207-5297 | 2014-04-01 |
1780926857 | Ezekeil Kinchen | Counselor | 3804 W Charles Bussey Ave, 3804 W Chas Bussey Ave, Little Rock, AR 72204-3902 | 2013-03-26 |
1285979609 | Charles Richard Chamblee Jr. | Counselor | 11401 I-30, Little Rock, AR 72209-7042 | 2012-12-11 |
1992062996 | Whitney Norris | Counselor | 10800 Financial Ctr, #290, Little Rock, AR 72211 | 2012-04-13 |
Find all providers in LITTLE ROCK |
City | LITTLE ROCK |
Zip Code | 72211 |
Please comment or provide details below to improve the information on MR. JOSEPH DAVID SULLIVAN.
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.