LISA WORDEN SULLIVAN (NPI# 1750662680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750662680 |
| Entity Type | Individual |
| Full Name | LISA WORDEN SULLIVAN |
| Credential | PH.D. |
| Practice Address |
1177 High Ridge Rd Stamford CT 06905-1221 |
| Practice Telephone | 2036095692 |
| Practice Fax Number | 2035699747 |
| Mailing Telephone | 2036095692 |
| Mailing Fax Number | 2035699747 |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2015-04-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
003117 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285282459 | Lisa Sullivan | Behavior Technician | 719 N Hillview Dr, Boise, ID 83712-8122 | 2019-08-29 |
| 1184183550 | Lisa Sullivan | Contractor | 113 Constitution Ct Apt A, Albany, GA 31721-2150 | 2019-03-15 |
| 1366875197 | Lisa Sullivan | Counselor | 3740 Colony Dr Ste 260, San Antonio, TX 78230-2233 | 2013-08-15 |
| 1336486414 | Lisa Marie Sullivan | Social Worker | 18 Rose Pl, Selden, NY 11784-3122 | 2013-01-10 |
| 1144579418 | Lisa Sullivan | Specialist | 252 California Ct, Mission Viejo, CA 92692-4098 | 2012-09-02 |
| 1811205750 | Lisa Renee Sullivan | Physician Assistant | 44305 Harmony Ln, Belleville, MI 48111-2449 | 2010-09-14 |
| 1700014065 | Lisa Hadeler Sullivan | Physical Therapist | 1420 Hwy 36, Hazlet, NJ 07730-1736 | 2009-06-25 |
| 1083874127 | Lisa Meghan Sullivan | Massage Therapist | 1640 Selby Ave Apt 6, Saint Paul, MN 55104-7379 | 2008-06-12 |
| 1841380375 | Lisa C. Sullivan | Pediatrics | 4950 Se Roethe Rd, Milwaukie, OR 97267-5746 | 2006-10-13 |
| 1386650273 | Lisa Marie Sullivan | Allergy & Immunology | 737 Saint Johns Ave, Highland Park, IL 60035-4650 | 2006-07-31 |
| Street Address |
1177 HIGH RIDGE RD |
| City | STAMFORD |
| State | CT |
| Zip Code | 06905-1221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427250729 | Marianela D Medrano | Counselor | 1177 High Ridge Rd, Suite 120, Stamford, CT 06905-1221 | 2007-05-31 |
| 1447858709 | Potomac Health PC | Orthopaedic Surgery | 1177 High Ridge Rd, Stamford, CT 06905-1221 | 2020-10-09 |
| 1013563295 | Connecticut Anesthesia Associates LLC | Anesthesiology | 1177 High Ridge Rd, Stamford, CT 06905-1221 | 2019-08-14 |
| 1245714096 | Pamela Tinkham LLC | Clinic/Center | 1177 High Ridge Rd, Stamford, CT 06905-1221 | 2018-09-18 |
| 1104339563 | Akb Holdings, LLC | In Home Supportive Care | 1177 High Ridge Rd, Stamford, CT 06905-1221 | 2017-11-08 |
| 1982963013 | Zhuta Enterprises Ltd LLC | Marriage & Family Therapist | 1177 High Ridge Rd, #120, Stamford, CT 06905-1221 | 2012-05-09 |
| 1851688899 | Alejandra Hochstedler-stipo | Counselor | 1177 High Ridge Rd, Suite 239, Stamford, CT 06905-1221 | 2011-06-28 |
| 1225327505 | Kpo Holdings, Inc | In Home Supportive Care | 1177 High Ridge Rd, Stamford, CT 06905-1221 | 2011-04-07 |
| 1265721195 | Mendim Zhuta | Marriage & Family Therapist | 1177 High Ridge Rd, Suite #120, Stamford, CT 06905-1221 | 2011-03-31 |
| 1255636635 | General Prize One Corp | General Practice | 1177 High Ridge Rd, Stamford, CT 06905-1221 | 2011-01-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396367272 | Smartport LLC | Non-emergency Medical Transport (VAN) | C/o Mollo, 1111 Summer St, Stamford, CT 06905 | 2020-05-13 |
| 1245889096 | Anna Diamantis | Counselor | 1200 High Ridge Road, 2nd Floor, Stamford, CT 06905 | 2019-09-04 |
| 1871150409 | Connecticut Anesthesia Associates LLC | Anesthesiology | 1177 High Ridge Road, Stamford, CT 06905 | 2019-05-20 |
| 1518447887 | Alexandra Petrov | Lactation Consultant, Non-RN | 42 Riverside Ave, Stamford, CT 06905 | 2018-08-16 |
| 1235640327 | A&s Chemists LLC | Pharmacy | 910 Summer Ave, Stamford, CT 06905 | 2017-10-17 |
| 1659805117 | Evolution Physical Therapy, LLC | Clinic/Center | 7 Reynolds Ave, Stamford, CT 06905 | 2017-04-11 |
| 1326587841 | Karen Poggi | Speech-Language Pathologist | 30 Buxton Farm Rd., Suite 230, Stamford, CT 06905 | 2017-02-16 |
| 1811434871 | Christina Skuburids, LLC | Point of Service | 2043 Bedford Street, Stamford, CT 06905 | 2017-01-27 |
| 1669833513 | Christian Alvarez | Occupational Therapist | 15 First St Unit 1, Stamford, CT 06905 | 2016-03-18 |
| 1932500915 | Emily Krol | Psychologist | 29 Yale Court, Stamford, CT 06905 | 2014-09-10 |
| Find all providers in zip 06905 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023215043 | Lynn Merle Sussman | Psychologist | 1173 Rock Rimmon Rd, Stamford, CT 06903-1210 | 2007-07-02 |
| 1457636383 | Spectrum Behavioral PC | Psychologist | 30 Buxton Farm Rd, Suite140, Stamford, CT 06905-1224 | 2011-10-11 |
| 1205000569 | Lynn M. Sussman, Ph.d. LLC | Psychologist | 1173 Rock Rimmon Rd, Stamford, CT 06903-1210 | 2008-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164045100 | Perennial Wellness Pllc | Psychologist | 250 Post Rd E Ste 106, Westport, CT 06880-3616 | 2020-05-26 |
| 1477181790 | Aed Psychotherapy, LLC | Psychologist | 140 Elm St Ste 1, New Canaan, CT 06840-5400 | 2020-03-31 |
| 1588172621 | Mclain Coffin Counseling, LLC | Psychologist | 132 E Putnam Ave Ste 26a, Cos Cob, CT 06807-2724 | 2018-01-10 |
| 1992128318 | John Melton | Psychologist | 141 Trout Avenue, Groton, CT 06349-5900 | 2014-01-22 |
| 1144595448 | Daniel Thomas Sciarra | Psychologist | 1 Kimberly Dr, Westport, CT 06880-1227 | 2012-03-20 |
| 1477838399 | Barry Andrew Schreier | Psychologist | 234 Glenbrook Rd # U2011, University of Connecticut, Storrs, CT 06269-2011 | 2011-10-12 |
| 1609173665 | Patrick Mcauliffe | Psychologist | 24 Bailey Ave, Ridgefield, CT 06877-4555 | 2011-02-27 |
| 1235434234 | Richard William Stillson | Psychologist | Silver St., Middletown, CT 06457 | 2011-01-21 |
| 1124215744 | Christopher J Cutter Jr. | Psychologist | 230 South Frontage St., Yale Child Study Center, New Haven, CT 06519-7900 | 2007-09-27 |
| 1942408752 | Charles Bruce Anderson | Psychologist | Director, Unh Counseling Center, 300 Boston Post Road, West Haven, CT 06516 | 2007-07-03 |
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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.