TONALISHA MONIQUE SULLIVAN (NPI# 1720565286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720565286 |
| Entity Type | Individual |
| Full Name | TONALISHA MONIQUE SULLIVAN |
| Practice Address |
5730 Garfield Ave Kansas City MO 64130-3340 |
| Practice Telephone | 9139400219 |
| Mailing Telephone | 9139400219 |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
Behavioral Health & Social Service Providers |
| Street Address |
5730 GARFIELD AVE |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64130-3340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154979532 | Jaiesha Releford | Home Health | 2403 E 49th St, Kansas City, MO 64130 | 2019-08-29 |
| 1932662335 | Roche' Burrell | Licensed Practical Nurse | 5221 Prospect Ave, Kansas City, MO 64130 | 2019-04-11 |
| 1154889947 | Laura Mizell | Social Worker | 3801 Blue Pwky, Kansas City, MO 64130 | 2019-03-11 |
| 1548789597 | Gifted Hands- Talented Minds | Clinic/Center | 3211 E. 60th Street, Kansas City, MO 64130 | 2017-09-11 |
| 1477083129 | Laura Kay Hyland | Registered Nurse | 5931 Swope Parkway, Kansas City, MO 64130 | 2017-06-15 |
| 1518407493 | Dialysis Clinic Inc | Clinic/Center | 2715 Swope Pkwy, Kansas City, MO 64130 | 2017-02-27 |
| 1790079291 | Zaron F. Kanion/myers Dental Clinic Dds, PC | Dentist | 5240 Prospect, Kansas City, MO 64130 | 2011-06-02 |
| 1235436593 | Omonosa Transportation and Social Services LLC | Meals | 4311 Prospect Ave, Kansas City, MO 64130 | 2011-02-23 |
| 1871826461 | All Families Health Center, LLC | Family Medicine | 4301 Cleveland Ave, Kansas City, MO 64130 | 2009-09-14 |
| 1922210442 | Trena Mae Leiter | Dentist | 3801 Blue Parkway, Kansas City, MO 64130 | 2007-05-04 |
| Find all providers in zip 64130 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437327426 | All Action Contractors | Psychologist | 3530 Locust St, Kansas City, MO 64109-2263 | 2008-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770105793 | Emily Mirriam Morgan IIi | Psychologist | 1013 Winnie St, Poplar Bluff, MO 63901-6457 | 2020-05-13 |
| 1871002865 | Denay M Reynolds | Psychologist | 5261 Delmar Blvd Ste 207, Saint Louis, MO 63108-1094 | 2017-09-22 |
| 1770757841 | Wildwood Cottage | Psychologist | 11212 E 71st St, Raytown, MO 64133-6801 | 2008-04-18 |
| 1407026057 | Mary L. Hester | Psychologist | 3128 St. Vincent Ave, St. Louis, MO 63104-1418 | 2008-03-10 |
| 1255516621 | Merrick Care Corp | Psychologist | 100 20th Ave S, Greenwood, MO 64034-8611 | 2008-01-04 |
| 1598988669 | Vera Goodloe Rice | Psychologist | 895 Graham Rd, Florissant, MO 63031-7051 | 2007-04-10 |
| 1225156912 | Maria Renee Carron | Psychologist | 6614 Clayton Rd, #179, Saint Louis, MO 63117-1602 | 2007-03-27 |
| 1699892885 | Michael Arthur Mcleod | Psychologist | 724 Rolfe Dr, Saint Louis, MO 63122-1648 | 2007-03-23 |
| 1811029440 | Nova Center of The Ozarks Inc. | Psychologist | 524 S Union Ave, Springfield, MO 65802-2660 | 2007-03-09 |
| 1245370923 | Integrity Lifeskills LLC | Psychologist | Bremond St 506, Versailles, MO 65084 | 2007-02-08 |
| Find all providers with the same taxonomy | ||||
| City | KANSAS CITY |
| Zip Code | 64130 |
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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.