MRS. DIANA ROSE SULLIVAN (NPI# 1447513981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447513981 |
| Entity Type | Individual |
| Full Name | MRS. DIANA ROSE SULLIVAN |
| Practice Address |
283 Pomeroy Ave Pittsfield MA 01201-6416 |
| Practice Telephone | 4133585927 |
| Mailing Telephone | 4133585927 |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2012-06-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225473911 | Diana Sullivan | Case Manager/Care Coordinator | 112 Coach Ln, Levittown, NY 11756-2706 | 2013-05-08 |
| 1689910754 | Diana Renee Sullivan | Registered Nurse | 2250 Leestown Rd, Lexington, KY 40511-1052 | 2012-12-18 |
| 1326213489 | Diana Patricia Sullivan | Counselor | 350 Nw 70th Ave, Suite A, Plantation, FL 33317-2349 | 2008-04-29 |
| 1477613792 | Diana Louise Sullivan | Counselor | 2806 Douglas Ave, Bellingham, WA 98225-6930 | 2006-12-08 |
| 1598716649 | Diana Sullivan | Social Worker | 1501 S California Ave, Chicago, IL 60608-1732 | 2006-05-13 |
| Street Address |
283 POMEROY AVE |
| City | PITTSFIELD |
| State | MA |
| Zip Code | 01201-6416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292326 | Dominic Boudini | Social Worker | Berkshire Medical Center Jones IIi, 777 North Street, Pittsfield, MA 01201 | 2018-10-25 |
| 1770066433 | Michelle P Racicot | Physical Therapy Assistant | 144 Brighton Ave, Pittsfield, MA 01201 | 2018-09-10 |
| 1659853927 | Janis W. Zimbler | Social Worker | 49 Kenilworth Street, Pittsfield, MA 01201 | 2018-09-04 |
| 1528545225 | Claudia L Coplan | Social Worker | 262 Appleton Avenue, Pittsfield, MA 01201 | 2018-07-25 |
| 1255852083 | Vandana Sethi | Dentist | Chp Neighborhood Dental Center, 510 North Street, Suite 1, Pittsfield, MA 01201 | 2017-07-01 |
| 1770011819 | Vladimir Nazarov | Dentist | 690 Merrill Road, Pittsfield, MA 01201 | 2017-06-02 |
| 1215462254 | Anqi Hu | Dentist | 788 South Street, Pittsfield, Ma 01201, Pittsfield, MA 01201 | 2017-04-27 |
| 1942759162 | Community Health Programs, Inc | Clinic/Center | 510 North St., Pittsfield, MA 01201 | 2016-09-29 |
| 1366990590 | Daniel Pinsky I | Counselor | 877 South Street, Clinical Support Options Suite 200, Pittsfiled, MA 01201 | 2016-09-16 |
| 1275086746 | Berkshire Medical Center, Inc | Substance Abuse Rehabilitation Facility | 48 Kent Ave, Pittsfield, MA 01201 | 2016-08-01 |
| Find all providers in zip 01201 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356759468 | Kristen Myers | Developmental Therapist | 27 Balance Rock Rd, Pittsfield, MA 01201-1056 | 2014-08-01 |
| 1134465016 | Adrienne K. Hamilton | Developmental Therapist | 20 Albro St, Pittsfield, MA 01201-4902 | 2012-12-20 |
| 1770857393 | Judith M Dorr | Developmental Therapist | 56 Dorchester Ave, Pittsfield, MA 01201-5627 | 2012-02-29 |
| 1780963041 | Nanciann Hobson Ryer | Developmental Therapist | 24 Elmview Ter, Pittsfield, MA 01201-6514 | 2011-08-04 |
| 1568775575 | Kathleen Wilson | Developmental Therapist | 40 Plunkett St, Pittsfield, MA 01201-4339 | 2010-07-19 |
| 1407188907 | Tiphani Brooke Gregory | Developmental Therapist | 330 S Florence Rd, Pittsfield, IL 62363-3132 | 2010-02-08 |
| 1376723817 | Patricia Hall Pellegrino | Developmental Therapist | 388 Columbus Avenue Ext, Pittsfield, MA 01201-4903 | 2007-11-13 |
| 1841898806 | Shana Kate Sullivan | Developmental Therapist | 388 Columbus Ave, Pittsfield, MA 01201-4903 | 2020-10-13 |
| 1497393342 | Celina Marie Kegresse | Developmental Therapist | 317 Lenox Ave, Pittsfield, MA 01201-2638 | 2019-12-11 |
| 1578104873 | Susan Strickler Garrison | Developmental Therapist | 388 Columbus Ave, Pittsfield, MA 01201-4903 | 2019-10-08 |
| Find all providers in PITTSFIELD | ||||
| City | PITTSFIELD |
| Zip Code | 01201 |
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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.