DR. PAUL SULLIVAN (NPI# 1689873994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689873994 |
| Entity Type | Individual |
| Full Name | DR. PAUL SULLIVAN |
| Credential | PSY.D. |
| Practice Address |
2900 Bristol St Suite A108 Costa Mesa CA 92626-5981 |
| Practice Telephone | 7144320042 |
| Mailing Telephone | 7144320042 |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2007-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY18437 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356824486 | Paul J Sullivan | Counselor | 11-12 Broadway Ave, Gloversville, NY 12078 | 2018-09-14 |
| 1952754400 | Paul Ryan Charles Sullivan | Internal Medicine | 1093 Prospect Ave, West Hartford, CT 06105-1104 | 2016-07-20 |
| 1427289347 | Paul Michael Sullivan | Counselor | 5397 Howard Rd, Petoskey, MI 49770-8815 | 2009-07-28 |
| 1013042613 | Paul Joseph Sullivan | Physical Therapist | 14 Gawaine Rd, North Easton, MA 02356-2642 | 2007-02-22 |
| 1730247032 | Paul Damian Sullivan | Psychiatry & Neurology | 11117 Waycroft Way, Rockville, MD 20852-3216 | 2006-12-05 |
| 1386721504 | Paul Michael Sullivan | Internal Medicine | 44060 Woodward, Bloomfield Hills, MI 48302 | 2006-11-01 |
| 1184728875 | Paul J. Sullivan | Physician Assistant | 36000 Darnall Loop, Room 1272, Carl R. Darnall Army Medical Center, Ft Hood, TX 76544 | 2006-09-12 |
| 1417953647 | Paul Edward Sullivan | Podiatrist | 925 Chestnut St, Fifth Floor, Philadelphia, PA 19107-4216 | 2005-06-22 |
| 1548822885 | Paul Francis Sullivan | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2019-07-08 |
| 1891278669 | Paul Joseph Sullivan | Psychologist | 525 E 68th St Fl 11, New York, NY 10065-4870 | 2018-09-07 |
| Street Address |
2900 BRISTOL ST SUITE A108 |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92626-5981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417991498 | Burdetta Louise Honescko | Counselor | 2900 Bristol St, J101, Costa Mesa, CA 92626-5981 | 2006-06-16 |
| 1184244121 | James Marquez | Counselor | 2900 Bristol St, Costa Mesa, CA 92626-5981 | 2020-04-20 |
| 1659841609 | Steve G Baker | Counselor | 2900 Bristol St, Costa Mesa, CA 92626-5981 | 2018-12-03 |
| 1710452784 | We Care Path | Counselor | 2900 Bristol St, Costa Mesa, CA 92626-5981 | 2018-10-05 |
| 1821522053 | Manabu Kuzu | Acupuncturist | 2900 Bristol St, G103, Costa Mesa, CA 92626-5981 | 2017-04-14 |
| 1366982878 | Stephen Stylianides | Chiropractor | 2900 Bristol St, Suite J104, Costa Mesa, CA 92626-5981 | 2017-03-02 |
| 1063964476 | Carol J Timmons | Clinic/Center | 2900 Bristol St, Bldg. J-206, Costa Mesa, CA 92626-5981 | 2016-11-02 |
| 1821449109 | Paige Meyer | Chiropractor | 2900 Bristol St, J108, Costa Mesa, CA 92626-5981 | 2016-06-28 |
| 1558712448 | The Body Lab Physical Therapy Inc. | Physical Therapist | 2900 Bristol St, J104, Costa Mesa, CA 92626-5981 | 2016-06-22 |
| 1518321439 | Lisa Ann Maurel | Marriage & Family Therapist | 2900 Bristol St, Suite C 208, Costa Mesa, CA 92626-5981 | 2016-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536982 | Sergio Gutierrez | Behavior Technician | 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 | 2020-10-22 |
| 1780201848 | Kelly Chauvet | Behavior Technician | 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 | 2020-07-06 |
| 1316564610 | Timo Rosa | Behavior Technician | 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 | 2020-07-02 |
| 1255966115 | Dalia A Sehweil | Behavior Technician | 1111 Baker, Costa Mesa, CA 92626 | 2020-03-11 |
| 1265071096 | Austin Stotelmyre | Behavior Technician | 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 | 2019-12-26 |
| 1396383022 | The Open Table | Community/Behavioral Health | 151 Kalmus Dr. Bldg C, Suite 100, Costa Mesa, CA 92626 | 2019-12-12 |
| 1851933550 | Jennifer Rivera | Behavior Technician | 1111 Baker St. Unit #a, Costa Mesa, CA 92626 | 2019-10-14 |
| 1962053595 | Peter Na | Behavior Technician | Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 | 2019-09-25 |
| 1346897147 | Jennifer Lopez | Behavior Technician | 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 | 2019-08-26 |
| 1679134084 | Danny Garcia Chiropractic, PC | Chiropractor | 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 | 2019-06-26 |
| Find all providers in zip 92626 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225661689 | Johnathon Neda | Psychologist | 795 Windward Way, Costa Mesa, CA 92627-4352 | 2020-02-13 |
| 1174969489 | Rachel Gita Foster | Psychologist | 1845 Anaheim Ave, Unit 9c, Costa Mesa, CA 92627 | 2013-05-14 |
| 1821347303 | Debra Winkcompleck Webb | Psychologist | 582 Traverse Dr., Costa Mesa, CA 92626 | 2012-08-30 |
| 1750604583 | Johanna Christine Walthall | Psychologist | 180 Cabrillo St Apt B19, Costa Mesa, CA 92627-3051 | 2010-03-08 |
| 1477876753 | Nader Babai Siahdohoni | Psychologist | 3151 Airway Ave Ste D2, Costa Mesa, CA 92626-4622 | 2010-03-01 |
| 1063747848 | Elizabeth Lee Waterman | Psychologist | 652 Beach St, Costa Mesa, CA 92627-3409 | 2009-10-12 |
| 1346574159 | Lili Yu Lim Kim Reboul | Psychologist | 150 Paularino Ave Ste C-100, Costa Mesa, CA 92626-3301 | 2009-09-25 |
| 1104029784 | Nancy D Young Phd | Psychologist | 2845 Mesa Verde Dr E, Suite 8, Costa Mesa, CA 92626-4858 | 2007-06-08 |
| 1356565766 | Antoine Francisco | Psychologist | 250 Fischer Ave, Costa Mesa, CA 92626-4515 | 2007-04-13 |
| 1386772663 | Erin Leigh Dornan-liuzzo | Psychologist | 3151 Airway Ave Ste A2, Costa Mesa, CA 92626-4620 | 2007-03-01 |
| Find all providers in COSTA MESA | ||||
| City | COSTA MESA |
| Zip Code | 92626 |
Please comment or provide details below to improve the information on DR. PAUL 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.