MR. PAUL MICHAEL SULLIVAN (NPI# 1427289347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427289347 |
| Entity Type | Individual |
| Full Name | MR. PAUL MICHAEL SULLIVAN |
| Credential | LPC |
| Practice Address |
5397 Howard Rd Petoskey MI 49770-8815 |
| Practice Telephone | 2312259030 |
| Practice Fax Number | 2312259026 |
| Mailing Telephone | 2312259030 |
| Mailing Fax Number | 2312259026 |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2016-08-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401009216 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356824486 | Paul J Sullivan | Counselor | 11-12 Broadway Ave, Gloversville, NY 12078 | 2018-09-14 |
| 1952754400 | Paul Ryan Charles Sullivan | Internal Medicine | 1093 Prospect Ave, West Hartford, CT 06105-1104 | 2016-07-20 |
| 1013042613 | Paul Joseph Sullivan | Physical Therapist | 14 Gawaine Rd, North Easton, MA 02356-2642 | 2007-02-22 |
| 1730247032 | Paul Damian Sullivan | Psychiatry & Neurology | 11117 Waycroft Way, Rockville, MD 20852-3216 | 2006-12-05 |
| 1386721504 | Paul Michael Sullivan | Internal Medicine | 44060 Woodward, Bloomfield Hills, MI 48302 | 2006-11-01 |
| 1184728875 | Paul J. Sullivan | Physician Assistant | 36000 Darnall Loop, Room 1272, Carl R. Darnall Army Medical Center, Ft Hood, TX 76544 | 2006-09-12 |
| 1417953647 | Paul Edward Sullivan | Podiatrist | 925 Chestnut St, Fifth Floor, Philadelphia, PA 19107-4216 | 2005-06-22 |
| 1548822885 | Paul Francis Sullivan | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2019-07-08 |
| 1891278669 | Paul Joseph Sullivan | Psychologist | 525 E 68th St Fl 11, New York, NY 10065-4870 | 2018-09-07 |
| 1245695402 | Paul Sullivan | Physical Therapist | 34 Manchester Ave, Forked River, NJ 08731-1366 | 2015-12-15 |
| Street Address |
5397 HOWARD RD |
| City | PETOSKEY |
| State | MI |
| Zip Code | 49770-8815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275087751 | Golden Recovery, Plc | Counselor | 5397 Howard Rd, Petoskey, MI 49770-8815 | 2016-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780231985 | Olivia Michelle Seaman | Pharmacist | 1301 U.S. 31 N. Hwy, Petoskey, MI 49770 | 2019-08-22 |
| 1649733148 | Harbor Hall, Inc. | Clinic/Center | 302 Orchard Ridge Drive, Petoskey, MI 49770 | 2019-04-11 |
| 1053802942 | Devin Hueston | Dentist | 231 State St Ste 3, Petoskey, MI 49770 | 2018-05-25 |
| 1720585037 | Jacob Kenneth Tracy | Counselor | 410 E Lake Street, Suite 100, Petoskey, MI 49770 | 2018-04-12 |
| 1013424191 | Timothy Robert La Gasse | Nurse Practitioner | 401 Connable Ave, Petoskey, MI 49770 | 2018-01-10 |
| 1609303676 | Shauna Sue Stark | Nurse Practitioner | 560 W Mitchell St Ste 505, Petoskey, MI 49770 | 2017-05-22 |
| 1053851519 | Maureen Todd | Counselor | 703 Emmet St, Petoskey, MI 49770 | 2017-03-03 |
| 1457719239 | Hufford Vision & Eye Care, PC | Optometrist | 560 West Mitchell, Suite 214, Petoskey, MI 49770 | 2016-02-08 |
| 1053779439 | Kaylyn Schiemann | Specialist/Technologist | 1980 Maxwell Rd, Petoskey, MI 49770 | 2016-02-01 |
| 1669839130 | Stieber Pediatric Dentistry Pllc | Clinic/Center | 1605 Us 131 Highway, Petoskey, MI 49770 | 2016-01-28 |
| Find all providers in zip 49770 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427510189 | Kaleidoscope Counseling Services Pllc | Counselor | 424 Petoskey Street, Suite C, Petoskey, MI 49770-2618 | 2019-04-02 |
| 1720585037 | Jacob Kenneth Tracy | Counselor | 410 E Lake Street, Suite 100, Petoskey, MI 49770 | 2018-04-12 |
| 1184121485 | Kristen Lynn Herriman | Counselor | 185 Vantage View Dr, Petoskey, MI 49770-9211 | 2018-04-12 |
| 1023546959 | Melissa Sue Merchant | Counselor | 1260 Ajijaak Ave, Petoskey, MI 49770-8330 | 2017-05-23 |
| 1053851519 | Maureen Todd | Counselor | 703 Emmet St, Petoskey, MI 49770 | 2017-03-03 |
| 1003366162 | Up North Family Counseling, LLC | Counselor | 318 E Mitchell St Ste 11, Petoskey, MI 49770-2616 | 2016-10-12 |
| 1750733069 | Chad Alexander | Counselor | 314 1/2 Howard St Ste 2b, Petoskey, MI 49770-4407 | 2016-07-11 |
| 1265891097 | Melissa A Martin | Counselor | 318 E Mitchell St Ste 7, Petoskey, MI 49770-2616 | 2016-02-22 |
| 1902201544 | Tana J Nathe | Counselor | 915 Waukazoo Ave., Petoskey, MI 49770 | 2014-10-24 |
| 1730582453 | Kelly Scolnick Ingleson | Counselor | 10035 E Mitchell Rd, Petoskey, MI 49770-8853 | 2014-10-08 |
| Find all providers in PETOSKEY | ||||
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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.