DR. PHILIP SULLIVAN (NPI# 1790830792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790830792 |
| Entity Type | Individual |
| Full Name | DR. PHILIP SULLIVAN |
| Credential | M.D. |
| Practice Address |
831 State Highway 150 S Evanston WY 82930-5340 |
| Mailing Address |
Po Box 177 Evanston WY 82931-0177 |
| Practice Telephone | 3077893464 |
| Practice Fax Number | 3077897373 |
| Mailing Telephone | 3077893464 |
| Mailing Fax Number | 3077897373 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2011-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
5348A | WY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | NATIONAL PROVIDER IDENTIFICATION | 1790830792 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982897385 | Philip R Sullivan | Psychiatry & Neurology | 393 Worcester Rd, 2nd Floor, Framingham, MA 01701-5366 | 2007-08-20 |
| 1679726624 | Philip Sullivan | Registered Nurse | 10000 Bay Pines Blvd., Bay Pines, FL 33774 | 2008-11-03 |
| 1447477583 | Philip J Sullivan | Emergency Medicine | 191 E Orchard Rd, Ste 102ne, Littleton, CO 80121-8000 | 2007-04-19 |
| 1538234661 | Philip Robert Sullivan | Internal Medicine | 5959 Big Tree Rd, Orchard Park, NY 14127-2291 | 2006-11-22 |
| 1871528182 | Philip Sullivan | Emergency Medicine | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 | 2006-07-12 |
| 1902834484 | Philip Wright Sullivan | Psychiatry & Neurology | 29 Northwest Blvd, Nashua, NH 03063-4068 | 2006-06-30 |
| Street Address |
831 STATE HIGHWAY 150 S |
| City | EVANSTON |
| State | WY |
| Zip Code | 82930-5340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306936117 | Dawn Lynn Stewart | Psychiatry & Neurology | 831 State Highway 150 S, Evanston, WY 82930-5340 | 2006-10-13 |
| 1982807145 | James Bruce Whiting | Dentist | 831 State Highway 150 S, Evanston, WY 82930-5340 | 2007-06-06 |
| 1265562482 | Candyce Lynn Shields | Psychologist | 831 State Highway 150 S, Evanston, WY 82930-5340 | 2007-03-06 |
| 1922135177 | Rex G Mabey | Psychiatry & Neurology | 831 State Highway 150 S, Evanston, WY 82930-5340 | 2007-02-27 |
| 1528194115 | Kathryn Anderson | Psychologist | 831 State Highway 150 S, Evanston, WY 82930-5340 | 2007-02-26 |
| 1912033515 | Cathy Buckwell | Psychologist | 831 State Highway 150 S, Evanston, WY 82930-5340 | 2007-02-26 |
| 1912052903 | Julie B Maggiolo | Psychiatry & Neurology | 831 State Highway 150 S, Evanston, WY 82930-5340 | 2007-01-23 |
| 1497800478 | Patricia A.e. Verellen | Psychiatry & Neurology | 831 State Highway 150 S, Evanston, WY 82930-5340 | 2007-01-23 |
| 1316011562 | State of Wyoming | General Practice | 831 State Highway 150 S, Evanston, WY 82930-5340 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398935 | Colby Kim Gomez | Physical Therapist | 190 Arrowhead Dr, Evanston, Wy 82930, Evanston, WY 82930 | 2020-02-13 |
| 1164808382 | Marilyn Carol Edgeworth Tacoma | Registered Nurse | 1037 Morse Lee St, Evanston, WY 82930 | 2015-08-11 |
| 1699159723 | Impact Physical Therapy LLC | Clinic/Center | 96 Yellow Creek Road, Evanston, WY 82930 | 2015-07-18 |
| 1578942421 | Mark Carstensen | Case Manager/Care Coordinator | 219 7th Street, Evanston, WY 82930 | 2015-05-26 |
| 1013396241 | Jennifer Carstensen | Case Manager/Care Coordinator | 325 Arrowhead Drive, Evanston, WY 82930 | 2015-05-20 |
| 1780083782 | Christa Lena Barker | Nurse Practitioner | 191 Overthrust Road, Evanston, WY 82930 | 2014-08-15 |
| 1366865339 | Don Mckay Francom | Dentist | 170 Arrowhead Dr. Suite 1, Evanston, WY 82930 | 2014-01-28 |
| 1417228370 | Premier Surgical Center, LLC | Clinic/Center | 195 Overthrust Road, Evanston, WY 82930 | 2012-01-24 |
| 1588959324 | Mejia D Williams | Social Worker | 190 Overthrust Road, Evanston, WY 82930 | 2011-06-09 |
| 1225327000 | Richard Jay Capener | Family Medicine | 196 Arrowhead Dr Ste 1, Evanston, WY 82930 | 2011-04-01 |
| Find all providers in zip 82930 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447503305 | Daniel Schiff | Psychiatry & Neurology | 1640 Maple, Evanston, IL 60201-3676 | 2012-10-17 |
| 1457548927 | James Newman | Psychiatry & Neurology | 3433 Clifford St, Evanston, IL 60201-4960 | 2007-09-28 |
| 1972701795 | Joan Lynch | Psychiatry & Neurology | 1603 Orrington Ave, Evanston, IL 60201-3841 | 2007-07-03 |
| 1639395205 | David M. Lipkin | Psychiatry & Neurology | 806 Lincoln St, Evanston, IL 60201-2405 | 2007-04-18 |
| 1326263740 | Richard D Chessick | Psychiatry & Neurology | 9400 Drake Ave, Evanston, IL 60203-1106 | 2007-04-13 |
| 1255461463 | Myron Philip Bornstein | Psychiatry & Neurology | 425 Davis St Unit 519, Evanston, IL 60201-4790 | 2007-03-06 |
| 1700915790 | Inna S Persina | Psychiatry & Neurology | 1512 Mulford St, Evanston, IL 60202-3232 | 2007-03-05 |
| 1306936117 | Dawn Lynn Stewart | Psychiatry & Neurology | 831 State Highway 150 S, Evanston, WY 82930-5340 | 2006-10-13 |
| 1518053826 | Jacqueline Haimes | Psychiatry & Neurology | 1718 Sherman Avenue, #210, Evanston, IL 60201 | 2006-10-05 |
| 1548361553 | Nicholas Dunkas | Psychiatry & Neurology | 708 Church Street, Suite 216, Evanston, IL 60201-3881 | 2006-09-25 |
| Find all providers in EVANSTON | ||||
Please comment or provide details below to improve the information on DR. PHILIP 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.