MRS. RENEE R SULLIVAN (NPI# 1750562070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750562070 |
| Entity Type | Individual |
| Full Name | MRS. RENEE R SULLIVAN |
| Credential | MSED |
| Practice Address |
375 Fortune Blvd Milford MA 01757-1723 |
| Practice Telephone | 5084787752 |
| Practice Fax Number | 5084789174 |
| Mailing Telephone | 5084787752 |
| Mailing Fax Number | 5084789174 |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2007-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| 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 |
|---|---|---|---|---|
| 1710321419 | Renee Michelle Sullivan | Clinical Nurse Specialist | 1506 W 46th Ave, Kennewick, WA 99337-3935 | 2013-04-24 |
| 1205042850 | Renee L Sullivan | Marriage & Family Therapist | 153 Marcar Rd, Macon, GA 31216-5929 | 2007-05-14 |
| 1831602317 | Renee Sullivan | Counselor | 1401 W 2nd St Unit 1, Gillette, WY 82716-3334 | 2017-11-07 |
| 1922214493 | Renee Marie Sullivan | Internal Medicine | One Hospital Drive, Columbia, MO 65201-0001 | 2007-05-14 |
| 1366472722 | Renee R Sullivan | Nurse Practitioner | 600 E Francis St, Suite 3, North Platte, NE 69101-6796 | 2006-07-03 |
| Street Address |
375 FORTUNE BLVD |
| City | MILFORD |
| State | MA |
| Zip Code | 01757-1723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093995763 | Cynthia Clark Klein | Registered Nurse | 375 Fortune Blvd, Milford, MA 01757-1723 | 2007-11-09 |
| 1447869904 | Jennifer White | Social Worker | 375 Fortune Blvd, Milford, MA 01757-1723 | 2020-07-30 |
| 1740812676 | Shannon Mccarthy | Developmental Therapist | 375 Fortune Blvd, Milford, MA 01757-1723 | 2020-02-09 |
| 1285265322 | Mary Kathryn Holman | Developmental Therapist | 375 Fortune Blvd, Milford, MA 01757-1723 | 2020-01-28 |
| 1033774203 | Megan Stewardson | Developmental Therapist | 375 Fortune Blvd, Milford, MA 01757-1723 | 2019-05-03 |
| 1548740061 | Michaela Mcgovern Simoneau | Physical Therapist | 375 Fortune Blvd, Milford, MA 01757-1723 | 2018-08-14 |
| 1902382229 | Devon Richard Verzillo | Speech-Language Pathologist | 375 Fortune Blvd, Milford, MA 01757-1723 | 2018-07-19 |
| 1982199543 | Sarah Proctor | Developmental Therapist | 375 Fortune Blvd, Milford, MA 01757-1723 | 2018-06-26 |
| 1740774843 | Elissa Austin | Registered Nurse | 375 Fortune Blvd, Milford, MA 01757-1723 | 2018-06-21 |
| 1255834149 | Erin Marie Barry | Developmental Therapist | 375 Fortune Blvd, Milford, MA 01757-1723 | 2018-03-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326686825 | Lisa Marie Villa | Physical Therapist | 37 Birch Street, Milford, MA 01757 | 2019-12-16 |
| 1689217739 | Aleosa Assurance Healthcare LLC | In Home Supportive Care | 199 Main St # 4, Milford, MA 01757 | 2019-10-22 |
| 1578028494 | Point of Healing Acupuncture LLC | Acupuncturist | 114 Water Street, Building 1, Milford, MA 01757 | 2019-02-05 |
| 1205354701 | Cristina Alexandra Cruz | Psychologist | 10 Asylum Street, Milford, MA 01757 | 2017-09-05 |
| 1316460694 | Kayla Supple | Behavioral Analyst | 7 Caroline Drive, Milford, MA 01757 | 2017-07-19 |
| 1487176111 | Kelsey Elizabeth Meleady | Developmental Therapist | 421 Fortune Boulevard, Milford, MA 01757 | 2017-07-14 |
| 1376065748 | Roberta Marie Mcleod | Developmental Therapist | 321 Fortune Boulevard, Milford, MA 01757 | 2017-07-07 |
| 1124442884 | Cornerstone At Milford | Assisted Living Facility | 11 Birch St., Milford, MA 01757 | 2014-02-14 |
| 1861835126 | Haylie Nichele Fuhrmann | Social Worker | 32 Hamilton St, Milford, MA 01757 | 2013-04-16 |
| 1558602680 | Lauren Kate Stasiukiewicz | Developmental Therapist | 321 Forture Blvd, Milford, MA 01757 | 2013-03-14 |
| Find all providers in zip 01757 | ||||
| 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 |
|---|---|---|---|---|
| 1659988202 | Jordan Taylor Clauson | Developmental Therapist | 300 E Main St Ste 104, Milford, MA 01757-2806 | 2020-09-28 |
| 1003459322 | Lubov Castelot | Developmental Therapist | 321 Fortune Blvd Ofc, Milford, MA 01757-1750 | 2019-10-18 |
| 1235782103 | Casey N Buser | Developmental Therapist | 321 Fortune Blvd Ph 478-0207, Milford, MA 01757-1750 | 2019-07-19 |
| 1295394344 | Javier Enrique Cruz | Developmental Therapist | 321 Fortune Blvd Ph 508478, Milford, MA 01757-1750 | 2019-06-12 |
| 1487176111 | Kelsey Elizabeth Meleady | Developmental Therapist | 421 Fortune Boulevard, Milford, MA 01757 | 2017-07-14 |
| 1376065748 | Roberta Marie Mcleod | Developmental Therapist | 321 Fortune Boulevard, Milford, MA 01757 | 2017-07-07 |
| 1700307436 | Adriell M Mayes | Developmental Therapist | 321 Fortune Boulevard, Milford, Ma 01757, Milford, MA 01747 | 2017-07-03 |
| 1396133807 | Melissa Boudreau | Developmental Therapist | 32 Fortune Blvd, Milford, MA 01757-3141 | 2015-01-06 |
| 1205247327 | Barbara Denucci | Developmental Therapist | 321 Fortune Blvd # 1757, Milford, MA 01757-1750 | 2014-05-12 |
| 1558602680 | Lauren Kate Stasiukiewicz | Developmental Therapist | 321 Forture Blvd, Milford, MA 01757 | 2013-03-14 |
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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.