MICHAEL DANIEL SULLIVAN (NPI# 1063548139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063548139 |
| Entity Type | Individual |
| Full Name | MICHAEL DANIEL SULLIVAN |
| Credential | LICSW, CDGC |
| Practice Address |
208 N 5th St Suite C Norfolk NE 68701-4155 |
| Mailing Address |
208 N 5th St Norfolk NE 68701-4155 |
| Practice Telephone | 4027507923 |
| Mailing Telephone | 4027507923 |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2016-01-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
1464 | NE | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | MAGELLAN MIS | 299363000 | 01 |
| NE | MIDLANDS CHOICE | 8721 | 01 |
| NE | BLUE CROSS | 082537 | 01 |
| NE | VALUE OPTIONS | 077785 | 01 |
| 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 |
208 N 5TH ST SUITE C |
| City | NORFOLK |
| State | NE |
| Zip Code | 68701-4155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700408465 | Women's Empowering Life Line, Inc. | Substance Abuse Rehabilitation Facility | 200 South 13th St, Norfolk, NE 68701 | 2020-05-15 |
| 1093297103 | Nicole Marie Owens | Physician Assistant | 2701 W. Norfolk Ave, Norfolk, NE 68701 | 2018-09-05 |
| 1326535410 | Healing Hands of Nebraska, PC | Otolaryngology | Sunset Plaza, 1700 Market Lane, Suite 410, Norfolk, NE 68701 | 2018-04-16 |
| 1356864995 | Nmg LLC | Family Medicine | 301 North 27th Street Suite 1, Norfolk, NE 68701 | 2017-07-25 |
| 1609396423 | Alison Erin Pfeifer | Physical Therapy Assistant | 1220 W Benjamin Ave #4, Norfolk, NE 68701 | 2017-06-22 |
| 1568996148 | Xanat Naranjo | Registered Nurse | 105 E. Norfolk Ave, Norfolk, NE 68701 | 2017-04-20 |
| 1194259945 | Angela Cornett | Licensed Practical Nurse | 105 E. Norfolk, Norfolk, NE 68701 | 2017-04-19 |
| 1669906400 | Melodie Ann Nielsen | Registered Nurse | 105 East Norfolk Ave, Norfolk, NE 68701 | 2017-04-19 |
| 1528519543 | Women's Empowering Life Line | Substance Abuse Rehabilitation Facility | 910 West Park Avenue, Norfolk, NE 68701 | 2016-10-14 |
| 1174983100 | Brooke Cemper | Nurse Practitioner | 2701 West Norfolk Ave, Norfolk, NE 68701 | 2016-03-03 |
| Find all providers in zip 68701 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183774 | Shero Counseling Agency | Counselor | 117 W 21st St Ste 215b, Norfolk, VA 23517-2246 | 2020-10-28 |
| 1518572221 | Elizabeth Ashley Magee | Counselor | 900 Shirley Ave Apt B1, Norfolk, VA 23517-1745 | 2020-09-10 |
| 1134733769 | Good Life Counseling & Support, LLC | Counselor | 3306 Raasch Avenue, Norfolk, NE 68702-2315 | 2020-09-01 |
| 1811500283 | Laura May Jessen | Counselor | 1106 W Benjamin Ave Ste 800, Norfolk, NE 68701-2748 | 2020-08-26 |
| 1629686746 | Tammy Denise Whitt | Counselor | 301 S Newtown Rd, Norfolk, VA 23502-5719 | 2020-07-14 |
| 1942820022 | Re-play Counseling, LLC | Counselor | 214 N 7th St Ste 11, Norfolk, NE 68701-4086 | 2020-04-20 |
| 1669007324 | Good Talk Counseling Services, LLC | Counselor | 104 N 3rd St Ste 200, Norfolk, NE 68701-4108 | 2020-03-03 |
| 1821639337 | Kim Marie Mcleod | Counselor | 3131 Azalea Garden Rd Ste B, Norfolk, VA 23513-2303 | 2019-10-06 |
| 1851956726 | My Thought's Therapy LLC | Counselor | 1500 E Little Creek Rd Ste Officeb, Norfolk, VA 23518-4137 | 2019-05-07 |
| 1467017608 | Angel Myers | Counselor | 4615 Pleasant Ave Unit B, Norfolk, VA 23518-1920 | 2019-05-02 |
| Find all providers in NORFOLK | ||||
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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.