MS. EMILY JOHNSON SULLIVAN (NPI# 1679753248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679753248 |
| Entity Type | Individual |
| Full Name | MS. EMILY JOHNSON SULLIVAN |
| Practice Address |
1581 N Main St Palmer MA 01069-1232 |
| Mailing Address |
156 N Liberty St Belchertown MA 01007-9302 |
| Practice Telephone | 4132833267 |
| Mailing Telephone | 4133237327 |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2007-11-15 |
| 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 |
|---|---|---|---|---|
| 1376152629 | Emily Esther Sullivan | Dietitian, Registered | 225 E Allen St, Lancaster, OH 43130-2626 | 2020-07-23 |
| 1861930489 | Emily Elizabeth Sullivan | Registered Nurse | 106 Nate Whipple Hwy Ste 101, Cumberland, RI 02864 | 2017-02-02 |
| 1053788554 | Emily Marianne Sullivan | Lactation Consultant, Non-RN | 636 Lincoln Blvd, Westwood, NJ 07675-3433 | 2015-08-31 |
| 1033381660 | Emily Ricker Sullivan | Behavioral Analyst | 85 Wardwell Rd, West Hartford, CT 06107-3003 | 2008-03-24 |
| 1134733132 | Emily Ann Sullivan | Behavior Technician | 21000 S Frankfort Square Rd Ste D, Frankfort, IL 60423-9386 | 2020-09-07 |
| 1043829781 | Emily Sullivan | Registered Nurse | 735 Attucks Ln, Hyannis, MA 02601-1867 | 2020-07-29 |
| 1841816907 | Emily Sullivan | Behavior Technician | 11575 E Laketowne Dr, Albertville, MN 55301-4348 | 2020-06-24 |
| 1376167213 | Emily Sullivan | Student in an Organized Health Care Education/Training Program | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2020-06-06 |
| 1265089411 | Emily Anne Sullivan | Behavioral Analyst | 607 North Ave, Door 11 2nd Floor, Wakefield, MA 01880 | 2019-08-22 |
| 1437672201 | Emily Sullivan | Speech-Language Pathologist | 2601 Bransford Ave, Nashville, TN 37204-2811 | 2017-07-24 |
| Street Address |
1581 N MAIN ST |
| City | PALMER |
| State | MA |
| Zip Code | 01069-1232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275593741 | Rebecca J. Wing | Physical Therapist | 1581 N Main St, Palmer, MA 01069-1232 | 2006-03-27 |
| 1215589429 | Kaitlin Elizabeth Foley | Developmental Therapist | 1581 N Main St, Palmer, MA 01069-1232 | 2019-07-09 |
| 1720551757 | Liane Mary Martin | Occupational Therapist | 1581 N Main St, Palmer, MA 01069-1232 | 2019-01-02 |
| 1588144455 | Maura Chlebus | Speech-Language Pathologist | 1581 N Main St, Palmer, MA 01069-1232 | 2018-08-20 |
| 1922517630 | Laura Jane Outhuse | Occupational Therapist | 1581 N Main St, Palmer, MA 01069-1232 | 2017-09-26 |
| 1528431996 | Jared Nykiel | Physical Therapist | 1581 N Main St, Palmer, MA 01069-1232 | 2015-11-07 |
| 1518343698 | Helen Wood | Behavioral Analyst | 1581 N Main St, Palmer, MA 01069-1232 | 2015-07-30 |
| 1821401217 | Kelli Correia | Health Educator | 1581 N Main St, Palmer, MA 01069-1232 | 2014-06-04 |
| 1992121222 | Kelly Blaney | Developmental Therapist | 1581 N Main St, Palmer, MA 01069-1232 | 2014-03-11 |
| 1447676051 | Criterion Child Enrichment | Early Intervention Provider Agency | 1581 N Main St, Palmer, MA 01069-1232 | 2014-03-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962979328 | Jacqueline Pahl | Social Worker | 11 Oakland St., Palmer, MA 01069 | 2018-10-24 |
| 1891277240 | Katherine Beliveau | Developmental Therapist | 1581 N. Main Street, Palmer, MA 01069 | 2018-09-02 |
| 1730606740 | Jordan Elizabeth Pike | Physician Assistant | 40 Wirght, Palmer, MA 01069 | 2017-08-30 |
| 1265880405 | Brittany Ford | Specialist/Technologist | 4105 Main St, Palmer, MA 01069 | 2016-05-27 |
| 1417263021 | Deborah Lee Stroetzel I | Audiologist-Hearing Aid Fitter | 40 Wright St., Palmer, MA 01069 | 2010-08-20 |
| 1063635399 | Department of Developmental Services | Intermediate Care Facility, Mentally Retarded | Monson Dev Cntr, 175 State Ave, Palmer, MA 01069 | 2007-04-11 |
| 1124149273 | Pruushotam Puri | Surgery | Wright Street, Palmer, MA 01069 | 2007-04-03 |
| 1679582019 | Richard Michael Gondek | Dentist | 1436 Main St, Palmer, MA 01069 | 2006-08-05 |
| 1083649222 | Jessica R Senecal-bennett | Social Worker | 42 Wright St, Palmer, MA 01069 | 2006-07-12 |
| 1396770632 | Daniel Shapiro | Social Worker | Wing Memorial Hospital Griswold Center, 40 Wright Street, Palmer, MA 01069 | 2006-07-12 |
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| 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 |
|---|---|---|---|---|
| 1891277240 | Katherine Beliveau | Developmental Therapist | 1581 N. Main Street, Palmer, MA 01069 | 2018-09-02 |
| 1215589429 | Kaitlin Elizabeth Foley | Developmental Therapist | 1581 N Main St, Palmer, MA 01069-1232 | 2019-07-09 |
| 1992121222 | Kelly Blaney | Developmental Therapist | 1581 N Main St, Palmer, MA 01069-1232 | 2014-03-11 |
| 1578743902 | Sarah Dupret Aasheim | Developmental Therapist | 1581 N Main St, Palmer, MA 01069-1232 | 2007-11-14 |
| 1851571541 | Jessica Marie Couture | Developmental Therapist | 1581 N Main St, Palmer, MA 01069-1232 | 2007-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114527090 | Kelsey Pomare Deschene | Developmental Therapist | 22 Currier Ave, Haverhill, MA 01830-6441 | 2020-10-29 |
| 1063012243 | Megan Alicia Harty | Developmental Therapist | 183 I St, Boston, MA 02127-4049 | 2020-10-28 |
| 1255939971 | Myriame Germain | Developmental Therapist | 74 Highcrest Rd, Roslindale, MA 02131-4824 | 2020-10-14 |
| 1659988202 | Jordan Taylor Clauson | Developmental Therapist | 300 E Main St Ste 104, Milford, MA 01757-2806 | 2020-09-28 |
| 1659905248 | Adrienne Nicole Wilson | Developmental Therapist | 15 Atherton Rd Apt 1, Brookline, MA 02446-2770 | 2020-02-24 |
| 1144853920 | Jamie Saunders | Developmental Therapist | 77 Gravel Bank Rd, Clarksburg, MA 01247-9731 | 2020-02-19 |
| 1164060612 | Shelby Morgan Johnson | Developmental Therapist | 11 Argyle St, Andover, MA 01810-2706 | 2019-12-16 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1356987606 | Teodora Veleva | Developmental Therapist | Kennedy Donovan Cape & Islands Early Intervention, 80 Pearl Street, Hyannis, MA 02601 | 2019-11-21 |
| 1245875376 | Courtney Rose Bird | Developmental Therapist | 87 Orchard St, Adams, MA 01220-2324 | 2019-11-13 |
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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.