MR. PATRICK SULLIVAN


Address: 3617 Fir Street, San Diego, CA 92104
Phone: 6193707362

MR. PATRICK SULLIVAN (NPI# 1821131087) 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) 1821131087
Entity Type Individual
Full Name MR. PATRICK SULLIVAN
Credential LCSW
Practice Address 3617 Fir Street
San Diego
CA 92104
Mailing Address 3617 Fir St
San Diego
CA 92104-5709
Practice Telephone 6193707362
Mailing Telephone 6193707362
Enumeration Date 2007-02-15
Last Update Date 2012-04-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
23130 CA Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
LCS 23130 CA Behavioral Health & Social Service Providers

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1629546734 Patrick M Sullivan Nurse's Aide 80 Highland Cross # 1, Rutherford, NJ 07070-2122 2018-11-06
1427569623 Patrick Lewis Sullivan Non-emergency Medical Transport (VAN) 7180 S Redwater Dr, Tucson, AZ 85757-6938 2017-10-16
1972024594 Patrick James Sullivan Physician Assistant 6619 State Highway Route 11, Canton, NY 13617 2017-07-05
1881144384 Patrick Benjamin Sullivan Specialist/Technologist 724 Sanhill Dr, Lynchburg, VA 24502-4924 2016-10-07
1740627538 Patrick James Sullivan Dentist 3735 Saxonburg Blvd, Pittsburgh, PA 15238-1070 2013-06-03
1659631018 Patrick Sean Sullivan Veterinarian 1628 Rainier Falls Dr Ne, Atlanta, GA 30329-4108 2012-05-20
1558656660 Patrick M. Sullivan Internal Medicine 145 Palomino Way, Santa Cruz, CA 95060-1475 2011-06-16
1194051060 Patrick John Sullivan Counselor 338b Merrimon Ave, Asheville, NC 28801-1222 2009-10-27
1063524247 Patrick James Sullivan Chiropractor 417 Uluniu St Ste H, Kailua, HI 96734-2551 2006-08-31

Office Location

Street Address 3617 FIR STREET
City SAN DIEGO
State CA
Zip Code 92104

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750933610 Hinderberger Dental Corporation Dentist 2050 El Cajon Boulevard, San Diego, CA 92104 2019-07-11
1912487265 Graham Ashton Harris Dentist 2310 Craven Street, Bldg 3230, Fpo, AA 92104 2018-08-16
1700393485 Christian Jacot Occupational Therapy Assistant 3128 Nile Street, San Diego, CA 92104 2018-01-04
1316452931 Enrico Resurreccion Santos Dental Hygienist 2310 Craven St. Bldg. 3230, San Diego, CA 92104 2017-12-05
1164940789 Robert Brian Damone Acupuncturist 3370 29th Street, San Diego, CA 92104 2017-09-04
1780100636 Nicole Palacios Counselor 4170 Texas Street, Apt 1, San Diego, CA 92104 2017-08-22
1063938587 Indie C Oliver Landrum Case Manager/Care Coordinator 2220 Broadway, San Diego, CA 92104 2017-08-16
1669829008 Krystah Lynn Smith Doula 3370 Cherokee Ave, Unit 43, San Diego, CA 92104 2016-05-16
1063871853 Holly Nicole Hinderberger Dentist 2050 El Cajon Blvd, San Diego, CA 92104 2016-02-22
1316336258 Jorge E Talavera Military Health Care Provider 3875 Florida St Apt 2, San Diego, CA 92104 2015-01-15
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396346359 Christina L Thomas Counselor 4611 Alamo Dr, San Diego, CA 92115-5907 2020-11-05
1639779101 Paula Perez Counselor 5882 Adobe Falls Rd, San Diego, CA 92120-4600 2020-10-26
1558974378 Monica Dixon Counselor 4930 Naples St Fl 1, San Diego, CA 92110-3820 2020-08-31
1952911612 Shannon Kathleen Nolte Counselor 13111 Kellam Ct Apt 9, San Diego, CA 92130-1251 2020-08-06
1033728498 Hala Kadhem Counselor 1664 Broadway, El Cajon, San Diego, CA 92021 2020-07-30
1487279493 Christi Susan Leyva Counselor 10417 Crosscreek Ter, San Diego, CA 92131-1344 2020-06-15
1285256099 Jehna Barnes Counselor 3636 Camino Del Rio N, San Diego, CA 92108-1703 2020-05-14
1457973455 Cassandra Detgen Counselor 5252 Orange Ave Unit 125, San Diego, CA 92115-6029 2020-05-12
1972131589 Douglas Baker Marriage and Family Therapy, Inc. Counselor 2911 Adams Ave # 5, San Diego, CA 92116-1509 2020-03-30
1255966859 Job Brunat Counselor 4169 38th St Apt 10, San Diego, CA 92105-1367 2020-03-04
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Competitor

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City SAN DIEGO
Zip Code 92104

Improve Information

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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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