DR. GERALD MICHAEL SULLIVAN (NPI# 1992921662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992921662 |
| Entity Type | Individual |
| Full Name | DR. GERALD MICHAEL SULLIVAN |
| Credential | PSYD |
| Practice Address |
228 E Northwest Hwy Palatine IL 60067-8107 |
| Mailing Address |
615 W Vine St Arlington Heights IL 60004-5341 |
| Practice Telephone | 2246592708 |
| Practice Fax Number | 8475779952 |
| Mailing Telephone | 8473925948 |
| Mailing Fax Number | 8475779952 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376613737 | Gerald Eugene Sullivan | Ophthalmology | 730 Fairview Ave, Suite B1, Bowling Green, KY 42101-2367 | 2006-11-09 |
| 1588177497 | Gerald Dwight Sullivan | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-11-14 |
| 1851844039 | Gerald P. Sullivan | Counselor | 8 Farnham St, Boston, MA 02119-2908 | 2016-07-25 |
| 1760683551 | Gerald Edward Sullivan | Internal Medicine | 6040 W Lisbon Ave, Suite 200, Milwaukee, WI 53210-2116 | 2007-05-30 |
| 1154396927 | Gerald Bland Sullivan | Family Medicine | 7 Kennedy Dr, Putnam, CT 06260-1939 | 2006-02-23 |
| Street Address |
228 E NORTHWEST HWY |
| City | PALATINE |
| State | IL |
| Zip Code | 60067-8107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689745788 | Judith L. Franklin | Social Worker | 228 E Northwest Hwy, Palatine, IL 60067-8107 | 2006-11-11 |
| 1699945634 | Holly Ann Bishop | Psychologist | 228 E Northwest Hwy, Palatine, IL 60067-8107 | 2008-03-05 |
| 1083899512 | Marlene Brusko Psy.d. | Psychologist | 228 E Northwest Hwy, Palatine, IL 60067-8107 | 2008-01-03 |
| 1538209135 | Judith A. Ivins | Psychologist | 228 E Northwest Hwy, Palatine, IL 60067-8107 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710510730 | Little City Foundation | Clinic/Center | 1700 W. Algonquin Rd., Palatine, IL 60067 | 2020-02-18 |
| 1447883467 | Little City Foundation | Clinic/Center | 1520 Port Center Drive, Palatine, IL 60067 | 2020-02-18 |
| 1477186492 | Little City Foundation | Clinic/Center | 1545 Port Center Drive, Palatine, IL 60067 | 2020-02-18 |
| 1003449026 | Little City Foundation | Clinic/Center | 1770 Little City Drive, Palatine, IL 60067 | 2020-02-18 |
| 1013554567 | Brittany Hall | Counselor | 1608 Colonial Parkway, Suite 101, 204, 209, Inverness, IL 60067 | 2019-12-03 |
| 1992360093 | Jonathan J Krok | Physical Therapist | 101 N. Northwest Hwy., Palatine, IL 60067 | 2019-05-03 |
| 1891215158 | Ana Stefaniuk | Counselor | Clinical Care Consultants, 1642 W. Colonial Parkway, Inverness, IL 60067 | 2017-06-27 |
| 1346792900 | Pt Solutions LLC | Physical Therapist | 30 S. Northwest Highway, Palatine, IL 60067 | 2016-10-31 |
| 1811355514 | Jayeti N Patel | Physical Therapist | 101 N. Northwest Highway, Palatine, IL 60067 | 2016-02-09 |
| 1780081315 | Mint Dentistry LLC | Preferred Provider Organization | 600 North North Court, Suite 260, Palatine, IL 60067 | 2014-11-25 |
| Find all providers in zip 60067 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528424512 | Melissa Ann Colon | Psychologist | 434 W Rosiland Dr, Palatine, IL 60074-1093 | 2016-01-07 |
| 1003117920 | Robyn Jonvieve Walsh | Psychologist | 311 N Fremont St, Palatine, IL 60067-5215 | 2010-11-09 |
| 1992957757 | Dr. Ann Dourlet Mott, P.C. | Psychologist | 800 E Northwest Hwy Ste 407, Palatine, IL 60074-6519 | 2008-10-10 |
| 1518050210 | Domanico Psychological Services | Psychologist | 355 West Northwest Highway, Palatine, IL 60067 | 2006-10-02 |
| 1265447627 | Carolyn M Gralewski | Psychologist | 1235 W Groh Ct, Palatine, IL 60067-5800 | 2006-07-31 |
| 1669039509 | Kmz Wellness LLC | Psychologist | 579 N 1st Bank Dr Ste 150, Palatine, IL 60067-8102 | 2019-05-28 |
| 1326448226 | Jung Mi Yi | Psychologist | 800 E Northwest Hwy, Suite 500, Palatine, IL 60074-6519 | 2014-08-27 |
| 1871916437 | Ruth Anderson | Psychologist | 909 E Palatine Rd, Palatine, IL 60074-5551 | 2014-01-31 |
| 1689000796 | Rana V Michaels, Psyd, Ltd. | Psychologist | 800 E Northwest Hwy, Suite 500, Palatine, IL 60074-6519 | 2013-09-20 |
| 1184066383 | Brittany Simon | Psychologist | 800 E Northwest Hwy Ste 500, Palatine, IL 60074-6511 | 2013-07-29 |
| Find all providers in PALATINE | ||||
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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.