ZACHARY JOEL SULLIVAN (NPI# 1568880094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568880094 |
| Entity Type | Individual |
| Full Name | ZACHARY JOEL SULLIVAN |
| Credential | DO |
| Practice Address |
3601 4th St Stop 8103 Lubbock TX 79430-8103 |
| Practice Telephone | 8067432800 |
| Practice Fax Number | 8067434250 |
| Mailing Telephone | 8067432800 |
| Mailing Fax Number | 8067434250 |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2019-12-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Q6577 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1941 East Rd, Houston, TX 77054 | 7134862500 | 7134862530 |
| 301 40th St, Lubbock, TX 794042746 | 8067439355 | 8067439363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568966596 | Zachary Paul Sullivan | Student in an Organized Health Care Education/Training Program | 2200 Jefferson Ave, Toledo, OH 43604-7101 | 2018-03-23 |
| 1467950782 | Zachary Adam Sullivan | Physician Assistant | 9230 Sky Island Dr E, Bonney Lake, WA 98391-7385 | 2018-02-01 |
| Street Address |
3601 4TH ST STOP 8103 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79430-8103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598976862 | Stephanie Anne Haygood | Marriage & Family Therapist | 3601 4th St Stop 8103, Lubbock, TX 79430-8103 | 2007-05-25 |
| 1386257038 | Aastha Singh | Student in an Organized Health Care Education/Training Program | 3601 4th St Stop 8103, Lubbock, TX 79430-8103 | 2020-08-24 |
| 1659994473 | Micah Park | Student in an Organized Health Care Education/Training Program | 3601 4th St Stop 8103, Lubbock, TX 79430-8103 | 2020-05-27 |
| 1811510613 | Ryan Thomas Frantz | Student in an Organized Health Care Education/Training Program | 3601 4th St Stop 8103, Lubbock, TX 79430-8103 | 2020-05-27 |
| 1750904587 | Joel Hughes Barrett Jr. | Student in an Organized Health Care Education/Training Program | 3601 4th St Stop 8103, Lubbock, TX 79430-8103 | 2020-05-27 |
| 1629622006 | Hatice Guncu Kurt | Psychiatry & Neurology | 3601 4th St Stop 8103, Lubbock, TX 79430-8103 | 2019-07-24 |
| 1487207288 | Kerala Ria Saugh | Student in an Organized Health Care Education/Training Program | 3601 4th St Stop 8103, Lubbock, TX 79430-8103 | 2019-07-20 |
| 1437716115 | Eri Shoji | Student in an Organized Health Care Education/Training Program | 3601 4th St Stop 8103, Lubbock, TX 79430-8103 | 2019-05-29 |
| 1669037180 | Panna Patel | Student in an Organized Health Care Education/Training Program | 3601 4th St Stop 8103, Lubbock, TX 79430-8103 | 2019-05-09 |
| 1932678398 | Daniel David Douglass | Nurse Practitioner | 3601 4th St Stop 8103, Lubbock, TX 79430-8103 | 2018-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702473 | Emily Bouffard | Student in an Organized Health Care Education/Training Program | 3601 4th Street Mail Stop 8143, Lubbock, TX 79430 | 2020-05-27 |
| 1891350310 | Erin Leigh Burton | Student in an Organized Health Care Education/Training Program | 3601 Fourth Street, Department of Surgery Ms 8312, Lubbock, TX 79430 | 2019-05-09 |
| 1851861439 | Zachery Brian Sneed | Counselor | 3b310, 3601 4th St Stop 6225, Lubbock, TX 79430 | 2018-11-27 |
| 1831683481 | Swagat Parajulee | Student in an Organized Health Care Education/Training Program | 3601 4th St., Stop 9410, Office 4b076, Lubbock, TX 79430 | 2018-06-18 |
| 1649711904 | William David Boothe Jr. | Dermatology | 3601 4th St Stop 6211, Lubbock, TX 79430 | 2017-03-19 |
| 1982144945 | Kazutaka Araki | Specialist/Technologist | 3601, 4th St, Lubbock, TX 79430 | 2017-02-24 |
| 1659725125 | Thomas Gregory Wyatt | Student in an Organized Health Care Education/Training Program | 3601 4th St Rm 3a122b, Lubbock, TX 79430 | 2016-04-20 |
| 1619391760 | Chinyere Mbagwu | General Practice | 3601 4th St # Ms 8143, Lubbock, TX 79430 | 2014-02-10 |
| 1982044111 | Eileen Mary Sprys | Family Medicine | 3601 4th St., Stop 8143, Lubbock, TX 79430 | 2013-07-02 |
| 1205196243 | Hilmi Alam | Family Medicine | Department of Family & Community Medicine, 3601 4th Street, Stop 8143, Lubbock, TX 79430 | 2012-05-24 |
| Find all providers in zip 79430 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033564869 | Manish Kumar | Psychiatry & Neurology | Department of Psychiatry 3601 4th St, Texas Tech University Health Sciences Center, Lubbock, TX 79430-0001 | 2016-04-29 |
| 1922140599 | Ashot Azatian | Psychiatry & Neurology | 4401 6th St, Suite A, Lubbock, TX 79416-4700 | 2007-02-12 |
| 1912017922 | Boris Porto | Psychiatry & Neurology | 4412 74th St, Suite E102, Lubbock, TX 79424-2328 | 2006-08-30 |
| 1194833152 | Marina Chavez | Psychiatry & Neurology | 3601 4th St # Ms 8103, Lubbock, TX 79430-0002 | 2006-08-29 |
| 1780791913 | Dana Andrew Butler | Psychiatry & Neurology | 3307 82nd St, Suite J, Lubbock, TX 79423-2046 | 2006-08-24 |
| 1164452082 | Arun D Patel | Psychiatry & Neurology | 6309 Indiana Ave, Suite D, Lubbock, TX 79413-5738 | 2006-07-04 |
| 1063450633 | Bhupala Raju Kallepalli | Psychiatry & Neurology | 3301 101st St, Lubbock, TX 79423-4045 | 2006-06-03 |
| 1669455846 | John Michael Cobb | Psychiatry & Neurology | 6502 Slide Rd, Suite 311, Lubbock, TX 79424-1329 | 2005-11-22 |
| 1477548196 | Thomas Orville Gore | Psychiatry & Neurology | 3302 34th St, Lubbock, TX 79410-3232 | 2005-09-19 |
| 1629622006 | Hatice Guncu Kurt | Psychiatry & Neurology | 3601 4th St Stop 8103, Lubbock, TX 79430-8103 | 2019-07-24 |
| Find all providers in LUBBOCK | ||||
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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.