DR. NANCY ELIZABETH SULLIVAN (NPI# 1215952759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215952759 |
| Entity Type | Individual |
| Full Name | DR. NANCY ELIZABETH SULLIVAN |
| Credential | PH.D. |
| Practice Address |
2555 Park Blvd Suite 20 Palo Alto CA 94306-1924 |
| Mailing Address |
Po Box 338 Menlo Park CA 94026-0338 |
| Practice Telephone | 6502458685 |
| Practice Fax Number | 6508477636 |
| Mailing Telephone | 6502458685 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2009-10-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PSY15181 | CA | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | PSY15181 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316930282 | Nancy Jane Sullivan | Social Worker | 1800 Cooper Point Rd Sw, Building 24b, Olympia, WA 98502-1178 | 2005-08-25 |
| 1578967394 | Nancy Leefong-chang Sullivan | Nurse Practitioner | 1105 S 348th St Ste B103, Federal Way, WA 98003-7027 | 2014-10-22 |
| 1902146715 | Nancy Peters Sullivan | Nurse Practitioner | 87 Paine Mountain Dr, Northfield, VT 05663-5791 | 2013-02-15 |
| 1700135910 | Nancy Carla Sullivan | Licensed Practical Nurse | 2000 Domanik Dr, Racine, WI 53404-2910 | 2012-09-04 |
| 1437471778 | Nancy J Sullivan | Registered Nurse | 1323 W Prince Rd, Tucson, AZ 85705-3114 | 2010-02-26 |
| 1710114376 | Nancy Marie Sullivan | Anesthesiology | 4200 University Ave Ste 300, West Des Moines, IA 50266-5945 | 2009-06-22 |
| 1619112828 | Nancy Anne Sullivan | Social Worker | 9729 64th Rd, Rego Park, NY 11374-2240 | 2008-12-03 |
| 1457504433 | Nancy L. Sullivan | Nurse Practitioner | 12720 Mcmanus Blvd, Suite 311, Newport News, VA 23602-4414 | 2008-11-04 |
| 1033321138 | Nancy Sullivan | Registered Nurse | 1221 Fulton Mall, Fresno, CA 93721-1915 | 2007-05-03 |
| 1801010434 | Nancy E. Sullivan | Counselor | 586 Merrimack St, Lowell, MA 01854-3944 | 2007-04-13 |
| Street Address |
2555 PARK BLVD SUITE 20 |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94306-1924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457582785 | Bridget Mcdonald Stolee | Marriage & Family Therapist | 2555 Park Blvd, Suite 20, Palo Alto, CA 94306-1924 | 2009-08-04 |
| 1205053972 | David Arnot Rasch | Psychologist | 2555 Park Blvd, Palo Alto, CA 94306-1924 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126538 | Vasily Salov | Massage Therapist | 2313 Park Blvd, Palo Alto, CA 94306 | 2020-08-25 |
| 1568982569 | Shian Hong | Registered Nurse | 270 Grant Avenue, Palo Alto, CA 94306 | 2017-06-21 |
| 1386092229 | Woo Jung Park | Acupuncturist | 4290 Wilkie Way #c, Palo Alto, CA 94306 | 2016-06-01 |
| 1225442205 | Keiko Gill | Chiropractor | 480 California Ave Ste 103, Palo Alto, CA 94306 | 2014-06-17 |
| 1093147092 | Thuy Nguyen | Optometrist | 109 California Ave Ste D101a, Palo Alto, CA 94306 | 2013-08-01 |
| 1750685293 | Erica Mikhli | Physician Assistant | 300 Pasteur Drive Cvrb 2nd Floor, Stanford, CA 94306 | 2010-12-24 |
| 1225262553 | Rina Biren Shah | Family Medicine | 270 Grant Ave., Mayview Community Health Center, Palo Alto, CA 94306 | 2009-05-14 |
| 1669640173 | Leah Zialcita | Physical Therapist | 2345 Yale Street, Palo Alto, CA 94306 | 2008-02-19 |
| 1578761631 | Mary June Asenathe Wagner | Dentist | 1795 El Camino Real #100, Palo Alto, CA 94306 | 2007-07-10 |
| 1972628923 | Lillian Landsman Burt | Social Worker | 2 Roosevelt Circle, Palo Alto, CA 94306 | 2007-03-20 |
| Find all providers in zip 94306 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306300876 | Jen Aronowitz | Clinical Neuropsychologist | 350 Cambridge Ave Ste 125, Palo Alto, CA 94306-1550 | 2019-01-29 |
| 1376638692 | Tonita Emily Wroolie | Clinical Neuropsychologist | 220 S California Ave, Suite 115a, Palo Alto, CA 94306-1641 | 2006-10-03 |
| 1245340496 | John H Poole | Clinical Neuropsychologist | 3801 Miranda Ave # 117, Palo Alto, CA 94304-1207 | 2006-08-30 |
| 1972139186 | Kacey M Marton | Clinical Neuropsychologist | 3801 Miranda Ave, Palo Alto, CA 94304-1290 | 2020-03-19 |
| 1922555275 | Gladys Marina Veltkamp | Clinical Neuropsychologist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2016-09-03 |
| 1174974125 | Kristina Agbayani | Clinical Neuropsychologist | 3801 Miranda Ave, Psc 117, Palo Alto, CA 94304-1207 | 2016-06-30 |
| 1306214259 | Michelle R. Madore | Clinical Neuropsychologist | 3801 Miranda Ave, Mail Code 151-y, Palo Alto, CA 94304-1207 | 2015-09-09 |
| 1740669852 | Timothy Craig Durazzo | Clinical Neuropsychologist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2015-05-21 |
| 1073926093 | Jennifer Loughlin | Clinical Neuropsychologist | 3801 Miranda Ave, Palo Alto, CA 94304 | 2014-06-06 |
| 1437439346 | Susan Anne Ropacki | Clinical Neuropsychologist | 3801 Miranda Avenue, Va Palo Alto Health Care System, Palo Alto, CA 94304 | 2011-08-23 |
| Find all providers in PALO ALTO | ||||
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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.