STEPHANIE MARIE SULLIVAN (NPI# 1255828307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255828307 |
| Entity Type | Individual |
| Full Name | STEPHANIE MARIE SULLIVAN |
| Practice Address |
415 S Main St Ste E Rochester MI 48307-2077 |
| Mailing Address |
1255 Duck Creek Ln Ortonville MI 48462-9049 |
| Practice Telephone | 2484534064 |
| Mailing Telephone | 2488214899 |
| Enumeration Date | 2018-04-15 |
| Last Update Date | 2018-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568901544 | Stephanie Ann Sullivan | Nurse Anesthetist, Certified Registered | Unity Point Health Methodist, 221 Ne Glen Oak Avenue, Peoria, IL 61636-0001 | 2017-02-23 |
| 1740608017 | Stephanie Sullivan | Speech-Language Pathologist | 3950 Sw 16th St, Okeechobee, FL 34974 | 2014-04-02 |
| 1619150158 | Stephanie Sue Sullivan | Licensed Practical Nurse | 5773 Golden Eagle Cir, Palm Beach Gardens, FL 33418-1518 | 2007-12-06 |
| 1063038115 | Stephanie N Sullivan | Dietitian, Registered | 100 Medical Center Way, Somers Point, NJ 08244-2300 | 2020-06-24 |
| 1871063396 | Stephanie Ashleigh Sullivan | Behavior Technician | 301 S Tubb St Ste A1, Oakland, FL 34760-8859 | 2018-11-27 |
| 1861968356 | Stephanie E Sullivan | Massage Therapist | 1301 Herr Ln, Louisville, KY 40222-4388 | 2018-10-23 |
| 1750801924 | Stephanie Leigh Sullivan | Case Manager/Care Coordinator | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2017-06-20 |
| 1750779989 | Stephanie Sullivan | Community/Behavioral Health | 145 Maple Ave, Red Bank, NJ 07701-1717 | 2014-12-22 |
| 1679987796 | Stephanie Sullivan | Speech-Language Pathologist | 501 Valley View Blvd, Altoona, PA 16602-6410 | 2014-06-17 |
| 1073952396 | Stephanie Sullivan | Emergency Medicine | 1304 Franklin Ave, Normal, IL 61761-3558 | 2013-06-19 |
| Street Address |
415 S MAIN ST STE E |
| City | ROCHESTER |
| State | MI |
| Zip Code | 48307-2077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083238851 | Martin Dukaj | Student in an Organized Health Care Education/Training Program | 1101 Walton Blvd, Rochester Hills, MI 48307 | 2020-06-08 |
| 1073151973 | Cynthia Lynn Olekszyk | Dietitian, Registered | 645 Barclay Circle, Rochester Hills, MI 48307 | 2019-12-11 |
| 1326502428 | Jessica Delia | Nurse Practitioner | 1701 E South Boulevard, Suite 290, Rochester Hills, MI 48307 | 2019-01-23 |
| 1528530037 | Kelie Friday | Physical Therapist | 312 Rochester Hills, Dearborn, MI 48307 | 2018-12-21 |
| 1538635883 | Julie Latarewicz | Physical Therapist | Ascension Providence Rochester Hospital, 1101 West University Drive, Rochester, MI 48307 | 2018-10-15 |
| 1891270757 | Leah Marx | Social Worker | 3950 Rochester Rd, Ste 2250, Rochester Hills, MI 48307 | 2018-09-26 |
| 1598256729 | Frederick Alan Bittner | Student in an Organized Health Care Education/Training Program | 1101 W. University Drive, 3 North, Rochester, MI 48307 | 2018-05-23 |
| 1508356346 | Ankita Aggarwal | Student in an Organized Health Care Education/Training Program | Wsu/ascension Crittenton Hospital, 1101 W. University Drive, Rochester, MI 48307 | 2018-05-17 |
| 1619478195 | Michelle Nuccio | Occupational Therapist | 1555 E South Blvd, Rochester Hills, MI 48307 | 2018-02-21 |
| 1265932024 | Stacy Dietlin Linn | Physical Therapist | 1555 E. South Blvd, Suite 120, Rochester Hills, MI 48307 | 2018-02-19 |
| Find all providers in zip 48307 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316309 | Jessica Janik | Marriage & Family Therapist | 625 Panorama Trl Ste 220, Rochester, NY 14625-2432 | 2020-11-03 |
| 1275133381 | Alexa Randall | Marriage & Family Therapist | 245 Rochester Hill Rd Ste 2, Rochester, NH 03867-1709 | 2020-10-28 |
| 1205449303 | Rochester Therapy Center | Marriage & Family Therapist | 1530 Greenview Dr Sw Ste 113, Rochester, MN 55902-1080 | 2020-08-28 |
| 1467060012 | Susan Reynolds | Marriage & Family Therapist | 3380 Monroe Ave Ste 117, Rochester, NY 14618-4726 | 2020-07-20 |
| 1437776721 | Pamela Marie Spallacci | Marriage & Family Therapist | 318 Westminster Rd, Rochester, NY 14607-3233 | 2020-07-02 |
| 1144864877 | Reena Abraham Hutchinson | Marriage & Family Therapist | 95 Allens Creek Rd Ste 214, Rochester, NY 14618-3247 | 2019-11-06 |
| 1912476920 | Rachel Wren | Marriage & Family Therapist | 56 Asbury St, Rochester, NY 14620-1914 | 2018-11-19 |
| 1275058786 | Melissa Spooner | Marriage & Family Therapist | 2171 Monroe Ave Ste 200c, Rochester, NY 14618-2433 | 2017-08-04 |
| 1720443096 | Brittany Rose Masetta | Marriage & Family Therapist | 2000 S Winton Rd, Bldg 4, Suite #200, Rochester, NY 14618 | 2015-12-30 |
| 1003284621 | Yvette A Kidman, LLC | Marriage & Family Therapist | 300 3rd Ave Se Ste 402, Rochester, MN 55904-4613 | 2015-09-14 |
| Find all providers in ROCHESTER | ||||
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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.