CARRIE MARIE SULLIVAN (NPI# 1992007215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992007215 |
Entity Type | Individual |
Full Name | CARRIE MARIE SULLIVAN |
Credential | MSOTR/L |
Practice Address |
1356 University Ave Berkeley CA 94702-1711 |
Mailing Address |
841 Collier Dr San Leandro CA 94577-3817 |
Practice Telephone | 5108455537 |
Mailing Telephone | 5104832832 |
Enumeration Date | 2010-11-18 |
Last Update Date | 2010-11-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225XN1300X |
Occupational Therapist Specialization: Neurorehabilitation |
OT5695 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942851969 | Carrie E Sullivan | Counselor | 6956 Ny-56, Potsdam, NY 13676 | 2019-09-20 |
1467823195 | Carrie Sullivan | Physical Therapy Assistant | 6 Cooper Dr, Apalachin, NY 13732-4135 | 2015-10-07 |
1417377516 | Carrie Sullivan | Behavioral Analyst | 274 Redwood Shores Pkwy # 639, Redwood City, CA 94065-1173 | 2014-04-16 |
1447640610 | Carrie Sullivan | Case Manager/Care Coordinator | 5 Court St, Norwich, NY 13815-1695 | 2015-01-27 |
1023447158 | Carrie A Sullivan | Nurse Practitioner | 433 W Main St, Hyannis, MA 02601-3644 | 2013-11-08 |
1609128586 | Carrie Lynn Sullivan | Nurse Practitioner | 198 E Jefferson St, Franklin, IN 46131-2323 | 2012-10-03 |
Street Address |
1356 UNIVERSITY AVE |
City | BERKELEY |
State | CA |
Zip Code | 94702-1711 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013218320 | Pamela Renee Inbar-hansen | Physical Therapist | 1356 University Ave, Berkeley, CA 94702-1711 | 2010-11-03 |
1730480633 | Neuro Wellness | Occupational Therapist | 1356 University Ave, Berkeley, CA 94702-1711 | 2010-11-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720597230 | Kelli Parnall | Occupational Therapist | 2418 Curtis St., Berkeley, CA 94702 | 2017-09-27 |
1801221866 | Joy Hillriegel | Marriage & Family Therapist | 2880 Sacramento St., Suite A, Berkeley, CA 94702 | 2013-09-10 |
1326305319 | Lloyd William Willey | Marriage & Family Therapist | 1385 Neilson St, Berkeley, CA 94702 | 2012-04-16 |
1497033492 | Suzanne Marie Gassner | Psychologist | 1491 Hopkins Street, Berkeley, CA 94702 | 2011-07-26 |
1437482353 | Johanna Mae Lelke | Chiropractor | 1250 Addison St., Suite 102, Berkeley, CA 94702 | 2009-09-10 |
1669693644 | Vicki Lj Young | Social Worker | 2920 Domingo St. Ste 204, Berkeley, CA 94702 | 2007-05-01 |
1942328935 | Michael Bradford Conant | Psychologist | 1307 University Avenue, Berkeley, CA 94702 | 2007-03-27 |
1659413508 | Janice Rae Ruchlis | Marriage & Family Therapist | 2302 Acton Street, Berkeley, CA 94702 | 2007-02-13 |
1760456149 | Francine Ann Yep | Family Medicine | 3100 San Pablo Ave Ste 310, Berkeley, CA 94702 | 2006-02-14 |
1033101118 | Audrey Dandrea | Family Medicine | 3100 San Pablo Ave # 310, Berkeley, CA 94702 | 2005-08-16 |
Find all providers in zip 94702 |
Taxonomy Code | 225XN1300X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Occupational Therapist |
Specialization | Neurorehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942624408 | Karri Kennedy | Occupational Therapist | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2014-02-04 |
1730480633 | Neuro Wellness | Occupational Therapist | 1356 University Ave, Berkeley, CA 94702-1711 | 2010-11-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003421249 | Hope Rising Therapy Inc. | Occupational Therapist | 31926 Via Ararat Dr, Bonsall, CA 92003-4340 | 2020-09-14 |
1992316681 | Cristin M. Zeisler | Occupational Therapist | 854 Penn St, El Segundo, CA 90245-2511 | 2020-08-14 |
1629694161 | Gina Erdman | Occupational Therapist | 1824 Ostrom Ave, Long Beach, CA 90815-3646 | 2020-06-21 |
1407324734 | Donald David Ajluni | Occupational Therapist | 1630 E Seeger Ave, Visalia, CA 93292-2026 | 2018-11-05 |
1326538661 | Stephanie Marie Farrell | Occupational Therapist | 910 E Alosta Ave, Azusa, CA 91702-2709 | 2018-05-11 |
1770098329 | Lucy Dodakian | Occupational Therapist | 843 Health Sciences Road Hewitt Hall 1331, Irvine, CA 92697-0001 | 2017-12-05 |
1932586690 | Sarah Cook | Occupational Therapist | 27 Los Cerros Ave, Walnut Creek, CA 94598-3134 | 2015-05-01 |
1801211313 | Meri Escobar | Occupational Therapist | 39 Kentworth, Irvine, CA 92602-0110 | 2014-02-20 |
1073888913 | Julie Ellen Papadakis | Occupational Therapist | 22642 Lambert St Ste 403, Lake Forest, CA 92630-1645 | 2012-03-10 |
1063657419 | Kevin Isaacs | Occupational Therapist | 9150 Reseda Blvd, Northridge, CA 91324 | 2008-12-12 |
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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.