MS. SHARON MARIE SULLIVAN (NPI# 1487262846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487262846 |
Entity Type | Individual |
Full Name | MS. SHARON MARIE SULLIVAN |
Credential | RN, LPS |
Practice Address |
100 W California Blvd Pasadena CA 91105-3010 |
Mailing Address |
133 W Carter Ave Sierra Madre CA 91024-1109 |
Practice Telephone | 6263972323 |
Mailing Telephone | 6262306191 |
Enumeration Date | 2020-07-21 |
Last Update Date | 2020-07-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 167G00000X | Licensed Psychiatric Technician | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699965392 | Sharon A Sullivan | Registered Nurse | 1213 24th St Ste 100, Anacortes, WA 98221-2599 | 2007-07-29 |
1326603671 | Sharon Sullivan | Counselor | 1150 S Semoran Blvd Ste A, Orlando, FL 32807-1424 | 2019-05-02 |
1487827267 | Sharon Sullivan | Registered Nurse | 1111 Columbus St, Ste 3000, Bakersfield, CA 93305-1936 | 2008-04-11 |
1508983966 | Sharon Elizabeth Sullivan | Physical Therapist | 225 Montauk Hwy, Suite 109, Moriches, NY 11955-1425 | 2007-03-23 |
1821016163 | Sharon Sullivan | Pediatrics | 7800 Providence Rd, Ste 203, Charlotte, NC 28226-2952 | 2006-07-17 |
Street Address |
100 W CALIFORNIA BLVD |
City | PASADENA |
State | CA |
Zip Code | 91105-3010 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023019460 | David Michael Ulick | Emergency Medicine | 100 W California Blvd, Department of Emergency Medicine, Pasadena, CA 91109 | 2005-08-09 |
1477150381 | Julia Yehudit Grinblat | Registered Nurse | 100 W California Blvd, Pasadena, CA 91105-3010 | 2020-10-04 |
1073121786 | Chelsea Marie Lam | Student in an Organized Health Care Education/Training Program | 100 W California Blvd, Pasadena, CA 91105-3010 | 2020-07-20 |
1629696182 | Claudette Bradley | Registered Nurse | 100 W California Blvd, Pasadena, CA 91105-3010 | 2020-07-10 |
1962020420 | Rachona Meza | Registered Nurse | 100 W California Blvd, Pasadena, CA 91105-3010 | 2020-07-10 |
1417573031 | Carolyn Krystal Kim | Student in an Organized Health Care Education/Training Program | 100 W California Blvd, Pasadena, CA 91105-3010 | 2020-06-19 |
1952927584 | Jessica Hsueh | Student in an Organized Health Care Education/Training Program | 100 W California Blvd, Pasadena, CA 91105-3010 | 2020-06-19 |
1396361929 | Raissa I Chua | Student in an Organized Health Care Education/Training Program | 100 W California Blvd, Pasadena, CA 91105-3010 | 2020-06-19 |
1073139630 | Khoa Nguyen | Student in an Organized Health Care Education/Training Program | 100 W California Blvd, Pasadena, CA 91105-3010 | 2020-06-19 |
1023634516 | Christopher Patrick Long | Student in an Organized Health Care Education/Training Program | 100 W California Blvd, Pasadena, CA 91105-3010 | 2020-06-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
Find all providers in zip 91105 |
Taxonomy Code | 167G00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Psychiatric Technician |
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417119413 | Barbara Beboua | Licensed Psychiatric Technician | 1627 N Oxford Ave, Pasadena, CA 91104 | 2008-06-30 |
1568093706 | Amanda Kathleen Pearson | Licensed Psychiatric Technician | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2020-01-27 |
1023652898 | Taylor Nicole Hannon | Licensed Psychiatric Technician | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2019-11-04 |
1184266793 | Esther Hicks | Licensed Psychiatric Technician | 2900 E Del Mar Blvd, Pasadena, CA 91107-4375 | 2019-10-15 |
1598312605 | Alena Luna | Licensed Psychiatric Technician | 2900 E Del Mar Blvd, Pasadena, CA 91107-4375 | 2019-08-22 |
1164078564 | Ginger Anne Brooks | Licensed Psychiatric Technician | 1450 N Lake Ave Ste 150, Pasadena, CA 91104-2388 | 2019-08-13 |
1083269252 | Sean Jaret Luat | Licensed Psychiatric Technician | 2900 E Del Mar Blvd, Pasadena, CA 91107-4375 | 2019-08-05 |
1396390720 | Lauren Smith | Licensed Psychiatric Technician | 100 W Walnut St Ste 375, Pasadena, CA 91124-0001 | 2019-08-02 |
1184187957 | Emerson Sousa | Licensed Psychiatric Technician | 2900 E Del Mar Blvd, Pasadena, CA 91107-4375 | 2019-04-09 |
1215426739 | Latoya Michelle Williamson | Licensed Psychiatric Technician | 66 Hurlbut St, Pasadena, CA 91105-4025 | 2018-05-10 |
Find all providers in PASADENA |
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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.