JOHN SULLIVAN (NPI# 1639789027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639789027 |
| Entity Type | Individual |
| Full Name | JOHN SULLIVAN |
| Credential | LPC |
| Practice Address |
1104 Cavalier Dr Waukesha WI 53186-6883 |
| Practice Telephone | 2629939231 |
| Mailing Telephone | 2629939231 |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2020-07-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
7803-125 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659820454 | John Christopher Sullivan | Counselor | 413 N Bridge St, Dewitt, MI 48820-8907 | 2016-09-22 |
| 1538576764 | John Michael Sullivan | Psychologist | One Old Oyster Point Road, Newport News, VA 23602 | 2014-07-21 |
| 1962827808 | John Sullivan | Emergency Medicine | 92 Wood Cove Dr, Coventry, RI 02816-6614 | 2014-03-02 |
| 1225368145 | John Patrick Sullivan Jr. | Psychologist | 8 Bradford Ave, Newport, RI 02840-2202 | 2009-12-29 |
| 1679703425 | John Michael Sullivan | Dentist | 9770 Old Baymeadows Rd Ste 113, Jacksonville, FL 32256-7986 | 2009-07-14 |
| 1649484726 | John F Sullivan | Pharmacist | 44 Timber Ln, Methuen, MA 01844-4644 | 2007-05-09 |
| 1881812410 | John Michael Sullivan | Social Worker | 735 Requa St, Peekskill, NY 10566-4615 | 2007-04-20 |
| 1114049228 | John M Sullivan | Chiropractor | 3945 Us Highway 77, Corpus Christi, TX 78410-4531 | 2007-04-06 |
| 1457412306 | John J Sullivan | Dentist | 325 W White Mountain Blvd, Lakeside, AZ 85929-6875 | 2006-12-13 |
| 1811067812 | John T. Sullivan | Dentist | 702 W Mission Ave, Bellevue, NE 68005-5124 | 2006-11-08 |
| Street Address |
1104 CAVALIER DR |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53186-6883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295391472 | Christine Lowdon Triggs | Dentist | 21680 West Bluemound Rd, Waukesha, WI 53186 | 2019-05-14 |
| 1881182889 | Allure Medical of Wisconsin Pllc | Clinic/Center | 1930 W Bluemound Rd Ste 340, Waukesha, WI 53186 | 2018-04-25 |
| 1316462104 | Mary B Mckee | Dietitian, Registered | 22370 W Bluemound Rd, #102, Waukesha, WI 53186 | 2017-08-14 |
| 1740738343 | Rebecca Menelle | Physical Therapist | 1809 Shepherd Ct, Apt 206, Waukesha, WI 53186 | 2016-09-13 |
| 1568919876 | Dianne Isnard | Physical Therapist | W231n1440 Corporate Court, Waukesha, WI 53186 | 2016-09-02 |
| 1982065991 | Brandon James Decker | Nurse Practitioner | 21775 Hillcrest Drive, Waukesha, WI 53186 | 2016-03-18 |
| 1598142937 | Sophia Marie Klingbiel | Social Worker | 1515 Paramount Dr., Waukesha, WI 53186 | 2015-05-06 |
| 1326478165 | Glen D Haberman | Dentist | 141 Wisconsin Avenue, Waukesha, WI 53186 | 2013-11-14 |
| 1487991014 | Sara Nicole Francis | Counselor | 217 Wisconsin Ave Ste 211, Waukesha, WI 53186 | 2013-01-16 |
| 1770862054 | Alex Colque, M.d. S.c. | Plastic Surgery | 21675 E Moreland Blvd, Suite 100, Waukesha, WI 53186 | 2011-08-04 |
| Find all providers in zip 53186 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707835 | Transitions & Supportive Services LLC | Counselor | 305 Sheffield Rd Apt 104, Waukesha, WI 53186-6354 | 2020-07-16 |
| 1942826532 | Julie Marie Fliss | Counselor | N17w24340 Riverwood Dr, Waukesha, WI 53188-1142 | 2020-06-19 |
| 1669876868 | Sarah Fesser | Counselor | 250 W Broadway Street, Suite 2, Waukesha, WI 53186-4848 | 2014-10-16 |
| 1487991014 | Sara Nicole Francis | Counselor | 217 Wisconsin Ave Ste 211, Waukesha, WI 53186 | 2013-01-16 |
| 1497003735 | Maria N Ramirez | Counselor | N19w24400 Riverwood Dr Ste 350, Waukesha, WI 53188-1182 | 2012-08-16 |
| 1962760009 | Deborah Sue Fisher | Counselor | 20700 Watertown Rd Ste 102, Waukesha, WI 53186-1800 | 2012-04-26 |
| 1245428846 | Kari Jane Barnes | Counselor | 726 N East Ave, Waukesha, WI 53186-4807 | 2007-10-09 |
| 1265564678 | Shorehaven Behavioral Health Inc | Counselor | 2314 N Grandview, Suite 309, Waukesha, WI 53188 | 2007-03-12 |
| 1982766937 | Thomas Albert Sznaider | Counselor | 1931 Michigan Ave, Waukesha, WI 53188-4251 | 2006-12-15 |
| 1164533147 | Jefferson David Ferguson | Counselor | 223 Wisconsin Ave Ste D, Waukesha, WI 53186-4926 | 2006-08-31 |
| Find all providers in WAUKESHA | ||||
Please comment or provide details below to improve the information on JOHN SULLIVAN.
| 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.