MS. JOAN LUCILLE SULLIVAN (NPI# 1164496931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164496931 |
| Entity Type | Individual |
| Full Name | MS. JOAN LUCILLE SULLIVAN |
| Credential | MA, OTR, CHT |
| Practice Address |
503 Grasslands Rd Suite 105 Valhalla NY 10595-1503 |
| Mailing Address |
74 Smith Ave South Nyack NY 10960-4734 |
| Practice Telephone | 9143459133 |
| Practice Fax Number | 9143459140 |
| Mailing Telephone | 8453586044 |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2010-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
000779-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205258498 | Joan E Sullivan | Pharmacist | 5918 Stoneridge Mall Road, Pleasanton, CA 94588 | 2014-01-08 |
| 1144372970 | Joan Sullivan | Contractor | 9010 Fitzsimmons Ave A, Madigan Army Medical Center, Tacoma, WA 98431-0001 | 2007-01-18 |
| 1487656278 | Joan E Sullivan | Nurse Practitioner | 95 Soldiers Pass Rd, Suite A-2, Sedona, AZ 86336-4781 | 2005-08-11 |
| 1346240223 | Joan M Sullivan | Legal Medicine | 20 Arrowood Dr, Ithaca, NY 14850-1857 | 2005-07-21 |
| 1417393901 | Joan Marie Sullivan | Pharmacist | 2101 E Jefferson St, Rockville, MD 20852-4908 | 2013-05-11 |
| 1710007729 | Joan Marie Sullivan | Religious Nonmedical Nursing Personnel | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2007-03-31 |
| 1689704728 | Joan M Sullivan | Counselor | 403 E Madison St, South Bend, IN 46617-2322 | 2007-03-07 |
| 1851445373 | Joan Grant Sullivan | Psychiatry & Neurology | 1749 Martin Luther King Jr Way, Berkeley, CA 94709-2139 | 2007-01-22 |
| 1043393150 | Joan M Sullivan | Physician Assistant | 1675 Leahy St, Suite 401a, Muskegon, MI 49442-5500 | 2006-10-23 |
| Street Address |
503 GRASSLANDS RD SUITE 105 |
| City | VALHALLA |
| State | NY |
| Zip Code | 10595-1503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154320174 | Marcia J Nackenson | Pediatrics | 503 Grasslands Rd, Ste. 200, Valhalla, NY 10595-1503 | 2005-07-20 |
| 1972117851 | Cynthia Marie Quijano | Speech-Language Pathologist | 503 Grasslands Rd, Valhalla, NY 10595-1503 | 2020-09-08 |
| 1538783394 | Carla Michelle Byrd | Specialist | 503 Grasslands Rd, Valhalla, NY 10595-1503 | 2020-06-07 |
| 1205318045 | Tamara Araceli Cervantes | Case Manager/Care Coordinator | 503 Grasslands Rd, Valhalla, NY 10595-1503 | 2018-08-29 |
| 1972095545 | Denise Lopez | Occupational Therapy Assistant | 503 Grasslands Rd, Valhalla, NY 10595-1503 | 2018-05-30 |
| 1629570155 | Hannah Zetlin Wong | Nurse Practitioner | 503 Grasslands Rd, Valhalla, NY 10595-1503 | 2018-02-28 |
| 1821597303 | Marie Pavia | Specialist | 503 Grasslands Rd, Valhalla, NY 10595-1503 | 2018-02-09 |
| 1265951321 | Caitlin Rose King | Speech-Language Pathologist | 503 Grasslands Rd, Valhalla, NY 10595-1503 | 2017-09-11 |
| 1639604226 | Sabina Mary Mathew | Nurse Practitioner | 503 Grasslands Rd, Valhalla, NY 10595-1503 | 2017-04-21 |
| 1669911855 | Jessica Medranda | Registered Nurse | 503 Grasslands Rd, Valhalla, NY 10595-1503 | 2017-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871126946 | Evan Alexander Formosa | Student in an Organized Health Care Education/Training Program | 40 Sunshine Cottege Road, New York Medical College Student Affairs Suite 122a, Valhalla, NY 10595 | 2020-02-18 |
| 1124673223 | Mozibur Rahman | Student in an Organized Health Care Education/Training Program | C/o Pathology, 100 Woods Rd, Valhalla, NY 10595 | 2019-08-06 |
| 1235650243 | Ana Karla F Arias | Psychologist | 503 Grasslands Roas, Suite 101, Valhalla, NY 10595 | 2017-06-29 |
| 1336682327 | Adriana Josandy Arias | Case Manager/Care Coordinator | 503 Grasslands Rd, Suite 101, Valhalla, NY 10595 | 2016-11-23 |
| 1740632934 | Philippe Hoffmann | Counselor | 1700 Old Orchard, Valhalla, NY 10595 | 2016-07-12 |
| 1396195020 | Elizabeth Hendricks | Social Worker | 1700 Old Orchard St, Valhalla, NY 10595 | 2016-06-14 |
| 1427437771 | Stephany Rodriguez | Case Manager/Care Coordinator | 503 Grasslands Road, Suite 101, Valhala, NY 10595 | 2015-05-20 |
| 1437536182 | Shajiuddin Faraz Mohammed | Psychiatry & Neurology | 100 Woods Road Behavioral Health Center Suite-n314, Westchester Medical Center, Department of Psychiatry, Valhalla, NY 10595 | 2015-05-01 |
| 1841685013 | Barbara Constantine | Physical Therapist | 70 Colubus Ave., Valhalla, NY 10595 | 2015-04-03 |
| 1316330418 | Victor Tseng | Anesthesiology | 100 Woods Rd Rm D-228, Valhalla, NY 10595 | 2015-03-12 |
| Find all providers in zip 10595 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013396910 | Pooa Bloomberg | Occupational Therapist | 503 Grasslands Rd, Valhalla, NY 10595-1503 | 2015-05-26 |
| 1306861349 | Michele Susan Comen | Occupational Therapist | 503 Grasslands Rd, Valhalla, NY 10595-1503 | 2006-07-12 |
| 1629033097 | Sally E. Poole | Occupational Therapist | 503 Grasslands Rd, Suite #105, Valhalla, NY 10595-1503 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457958415 | Fathima Mohamed | Occupational Therapist | 209 Hooper St Apt 3, Brooklyn, NY 11211-9615 | 2020-10-02 |
| 1689213357 | Rhonda Reininger | Occupational Therapist | 240 E 38th St Ste 15-53, New York, NY 10016-2708 | 2019-12-30 |
| 1982255253 | Monika Dworakowski | Occupational Therapist | 6132 Riverdale Ave, Bronx, NY 10471-1009 | 2019-09-26 |
| 1306408372 | Laura Beth Lory | Occupational Therapist | 244 W 54th St Unit 404, New York, NY 10019-5597 | 2019-07-01 |
| 1396220778 | Chia-chen Chang | Occupational Therapist | 13620 38th Ave Ste 8a, Flushing, NY 11354-4232 | 2018-10-01 |
| 1043705338 | Richard Jay Russ | Occupational Therapist | 30 Merritt Ave, Massapequa, NY 11758-7931 | 2018-06-28 |
| 1841705498 | Hand In Hand Occupational Therapy of Li, Pllc | Occupational Therapist | 764 Middle Country Rd Ste 1, Selden, NY 11784-2503 | 2017-12-05 |
| 1235648395 | William L Jim | Occupational Therapist | 139 Centre St Ste 814, New York, NY 10013 | 2017-09-21 |
| 1922451871 | Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Occupational Therapist | 1160 E Jericho Tpke, Suite 123, Huntington, NY 11743-5400 | 2016-07-15 |
| 1316362510 | Hand Therapy New York Ot Pllc | Occupational Therapist | 20 E 35th St Lbby 1e, New York, NY 10016-3853 | 2014-02-25 |
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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.