DR. SARA SULLIVAN


Address: 200 Springs Rd, Bedford, MA 01730-1114
Phone: 7816872000

DR. SARA SULLIVAN (NPI# 1265913503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265913503
Entity Type Individual
Full Name DR. SARA SULLIVAN
Credential PH.D.
Practice Address 200 Springs Rd
Bedford
MA 01730-1114
Mailing Address 126 Andrews St
Lowell
MA 01852-4630
Practice Telephone 7816872000
Mailing Telephone 7404972968
Enumeration Date 2018-08-24
Last Update Date 2018-08-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist PSY.0004856 CO Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
PSY.0004856 CO Behavioral Health & Social Service Providers

Other Providers SARA SULLIVAN

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1760092837 Sara Sullivan Technician 1581 Clark Rd, Charleston, WV 25314-2336 2020-08-04
1669791158 Sara Lauren Kiehn Sullivan Nurse Practitioner 2927 Carlson Blvd, El Cerrito, CA 94530-3511 2010-05-23
1023275849 Sara Ann Sullivan Physical Therapist 631 Clymer Sherman Rd, Clymer, NY 14724-9758 2008-05-20
1740326792 Sara Mcgowan Sullivan Counselor 10701 Corporate Drive, Suite # 220, Stafford, TX 77477 2007-01-29
1114931706 Sara Nivens Sullivan Social Worker 7629 Velvet Mist St., Las Vegas, NV 89131-3651 2006-07-28
1902404023 Sara Lynn Sullivan Speech-Language Pathologist 3320 N Clinton St, Fort Wayne, IN 46805-1918 2020-10-12
1841676855 Sara Sullivan Dentist 3097 Steinway St, 2nd Floor, Astoria, NY 11103-3440 2015-08-03
1942690706 Sara Bea Sullivan Counselor 913 S College Rd, Suite 201, Lafayette, LA 70503-3060 2015-02-02
1225451347 Sara Sullivan Specialist/Technologist 800 Phillies Dr, Clearwater, FL 33755-4337 2014-01-24
1821396466 Sara Margaret Sullivan Physician Assistant 555 N Arlington Ave, Reno, NV 89503-4723 2011-03-07

Office Location

Street Address 200 SPRINGS RD
City BEDFORD
State MA
Zip Code 01730-1114

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497749618 Sven Knudsen Ljaamo Preventive Medicine 200 Springs Rd, Edith Nourse Rodgers Memorial Va Hospital, Bedford, MA 01730-1114 2005-09-02
1740889161 Elias Mbogo Licensed Practical Nurse 200 Springs Rd, Bedford, MA 01730-1114 2020-10-19
1740898089 Hillary Elizabeth Silvia Nurse Practitioner 200 Springs Rd, Bedford, MA 01730-1114 2020-07-22
1669099131 Robert Jurgens Parker Nurse Practitioner 200 Springs Rd, Bedford, MA 01730-1114 2020-07-01
1962029314 Philip Tah Licensed Practical Nurse 200 Springs Rd, Bedford, MA 01730-1114 2020-07-01
1396368387 Douglas Allen Optometrist 200 Springs Rd, Bedford, MA 01730-1114 2020-05-25
1407476963 Stacy Kathy Tsionis Registered Nurse 200 Springs Rd, Bedford, MA 01730-1114 2020-04-24
1063040962 Garret Sacco Psychologist 200 Springs Rd, Bedford, MA 01730-1114 2020-03-28
1770123838 Hannah Murphy Social Worker 200 Springs Rd, Bedford, MA 01730-1114 2020-01-07
1164062220 Spencer Logan Diehl Social Worker 200 Springs Rd, Bedford, MA 01730-1114 2020-01-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134779614 Access Physical Therapy, LLC Physical Therapist 158 Great Rd Unit J, #661, Bedford, MA 01730 2019-09-16
1578113478 Holly Babineau Counselor Building 7, Springs Rd, Bedford, MA 01730 2019-09-13
1205318656 Ella Bitman Social Worker 9 Mudge Way, Bedford, MA 01730 2018-09-02
1578045928 Abaigeal Doherty Counselor 205 Burlington Road, Bedford, MA 01730 2018-09-02
1669950853 Patriot Urgent Care Professionals, PC General Practice 154 Great Road, Bedford, MA 01730 2018-07-31
1609369701 Katharine Smidt Psychologist 61 Springs Rd, Bedford, MA 01730 2018-06-13
1043702053 Bethel Care International Inc Home Health Aide 114 Page Rd, Bedford, MA 01730 2018-06-05
1689187064 Lori Merlo Physical Therapist 6 Paul Revere Road, Bedford, MA 01730 2017-11-08
1093268260 Patriot Urgent Care Professionals, PC Clinic/Center 160 Great Road, Unit 4a, Bedford, MA 01730 2016-07-25
1568839991 Amy Bonneau Social Worker 59 Grenier St, Bldg 1509, Hanscom Afb, MA 01730 2015-09-02
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265527915 Cognitive Solutions, Pa Clinical Neuropsychologist 1305 Airport Freeway, Ste. 205, Bedford, TX 76021 2006-10-04
1083990147 Meghan B Mitchell Clinical Neuropsychologist 200 Springs Rd, 182b, Bedford, MA 01730-1114 2011-11-02
1396943163 Lee W Ashendorf Clinical Neuropsychologist 200 Springs Rd, 116b, Bedford, MA 01730-1114 2007-07-03
1033247226 Ross L Gourvitz Clinical Neuropsychologist 40 S River Rd Unit 33, Bedford, NH 03110-6721 2007-03-01
1750476495 Andrew W Houtz Clinical Neuropsychologist 1305 Airport Fwy Ste 205, Bedford, TX 76021-6606 2006-10-04
1902863616 Charles Edward Drebing Clinical Neuropsychologist 200 Springs Rd, Psychology Service, Bedford, MA 01730-1114 2006-04-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154949873 Erica Rose Appleman Clinical Neuropsychologist 134 Horace St, Boston, MA 02128-1581 2020-07-09
1578187613 Nancy Schneider-pruett Clinical Neuropsychologist The Neuropsychology Service, 100 Cummings Center, Beverly, MA 01982 2020-06-04
1194365312 Erin Grace Kitchener Clinical Neuropsychologist 1 Wells Ave Fl 4, Newton, MA 02459-3211 2020-01-15
1407330509 Coastal Psychological Center, LLC. Clinical Neuropsychologist 36 Woburn St Ste 6, Reading, MA 01867-2903 2018-09-24
1881102515 Matthew S Conway Clinical Neuropsychologist 26 Chestnut St Ste 2e, Andover, MA 01810-3600 2018-01-16
1811415326 Francesca Lavecchia Clinical Neuropsychologist Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 2017-09-05
1346792637 Margaret Alice Mcphee Clinical Neuropsychologist 29 Regina Dr, Chelmsford, MA 01824-4540 2016-11-02
1154870814 Jessica Pan Clinical Neuropsychologist 1 Bowdoin St, 7th Floor, Boston, MA 02114-4201 2016-09-22
1508217506 Donald Bearden Clinical Neuropsychologist 30 Iroquois St, Unit 33, Roxbury Crossing, MA 02120-2848 2016-06-30
1497115612 Susan Magocsi Clinical Neuropsychologist 13 Meetinghouse Ln, Milton, MA 02186-2415 2016-03-01
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Competitor

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City BEDFORD
Zip Code 01730

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Dataset Information

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.

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