MR. JAMES EDWARD SULLIVAN


Address: 2076 Wallum Lake Rd, Pascoag, RI 02859
Phone: 4015681770

MR. JAMES EDWARD SULLIVAN (NPI# 1730343666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730343666
Entity Type Individual
Full Name MR. JAMES EDWARD SULLIVAN
Credential MA. PSY
Practice Address 2076 Wallum Lake Rd
Pascoag
RI 02859
Mailing Address 195 Admiral Kalbfus Rd Apt 12e
Newport
RI 02840-1372
Practice Telephone 4015681770
Mailing Telephone 7189096197
Enumeration Date 2008-07-10
Last Update Date 2008-07-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

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Office Location

Street Address 2076 WALLUM LAKE RD
City PASCOAG
State RI
Zip Code 02859

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811397763 Patricia Scuncio Physical Therapy Assistant 252 Donahue Road, Pascoag, RI 02859 2014-08-28
1134479520 Kimberly Mary Cote Social Worker 2078 Wallum Lake Rd., Pascoag, RI 02859 2012-09-13
1487923793 Northwest Community Health Care Clinic/Center 999 S. Main Street, Pascoag, RI 02859 2011-12-16
1427243682 Julie A. Vander Schel Counselor 2076 Wallum Lake Road, Pascoag, RI 02859 2007-09-11
1699985226 Donna Watson Counselor 2198 Wallum Lake Rd., Pascoag, RI 02859 2007-05-23
1194817197 Purvi Chokshi Internal Medicine 2090 Wallum Lake Road, Pascoag, RI 02859 2006-09-28
1659395622 Dennis Edward Joyce Counselor 2198 Wallum Lake Road, Pascoag, RI 02859 2006-07-26
1427087782 Robert James Brothers Counselor 2198 Wallum Lake Rd, Pascoag, RI 02859 2006-06-30
1245219070 Northwest Community Health Care Clinic/Center 36 Bridge Way, Pascoag, RI 02859 2006-01-11
1194002972 Northwest Community Health Care Community/Behavioral Health 1 High Street, Pascoag, RI 02859 2011-11-08
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427243682 Julie A. Vander Schel Counselor 2076 Wallum Lake Road, Pascoag, RI 02859 2007-09-11
1699985226 Donna Watson Counselor 2198 Wallum Lake Rd., Pascoag, RI 02859 2007-05-23
1659395622 Dennis Edward Joyce Counselor 2198 Wallum Lake Road, Pascoag, RI 02859 2006-07-26
1427087782 Robert James Brothers Counselor 2198 Wallum Lake Rd, Pascoag, RI 02859 2006-06-30
1902055809 Karen Scott Counselor 2198 Wallum Lake Rd, Pascoag, RI 02859-1813 2008-09-16
1962599795 David Contildes Counselor 2198 Wallum Lake Road, Pascoag, RI 02859 2006-10-05
1871694927 Janet Linnehan Cardillo Counselor 2198 Wallum Lake Rd, Pascoag, RI 02859-1813 2006-09-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740881192 Tiyawni Kerriesha Byfield Counselor 4705 Boston Post Rd., Charlestown, RI 02813 2020-11-03
1285240549 Pjmj Counselling LLC Counselor 45 Alger Ave, East Greenwich, RI 02818-4313 2020-09-21
1649884248 Jose G. Cruz Rodriguez Counselor 66 Planet Ave, Riverside, RI 02915-2172 2020-09-02
1528694494 Timothy Lavendier Counselor 3371 Diamond Hill Rd, Cumberland, RI 02864-2922 2020-03-23
1205479755 Madisson A Catanzaro Counselor 400 Bald Hill Rd Ste 517, Warwick, RI 02886-6100 2019-10-28
1477100808 Raisa Emilia Garcia-diaz Counselor 66 Pavilion Avenue, Providence, RI 02905 2019-08-21
1679126452 Mary Musial Counselor 22 Midway Dr, North Kingstown, RI 02852-2514 2019-07-20
1831741156 Lauren D'andrea Counselor 50 Tobie Ave, Pawtucket, RI 02861-2912 2019-07-16
1134780067 Jamie Lynn Souza Counselor 1257 Cranston St, Cranston, RI 02920-7315 2019-06-21
1285298299 David J. Decosta Counselor 200 Hilton St, Tiverton, RI 02878-1119 2019-04-24
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Competitor

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City PASCOAG
Zip Code 02859

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Dataset Information

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.

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