Active NPIIndividual providerSole proprietor

Mr. James E Sullivan, MA PSY

Counselor, Addiction (Substance Use Disorder) in Pascoag, Rhode Island

NPI Number1730343666
Practice location
2076 Wallum Lake RD, Pascoag, RI 02859
Fax
—
Last updated
July 10, 2008

James Edward Sullivan is a Counselor, Addiction (Substance Use Disorder) based in Pascoag, RI. James Edward Sullivan practices in Pascoag, RI and has the professional credentials of MA PSY. The NPI Number for James Edward Sullivan is 1730343666. The current practice location address for James Edward Sullivan is 2076 Wallum Lake RD, Pascoag, RI 02859 and can be reached out via phone at 401-568-1770.

Provider Profile Details

NPI Number
1730343666
Provider Name
James Edward Sullivan
Credential
MA PSY
Provider Entity Type
Individual
Gender
Male
Address
2076 Wallum Lake RD, Pascoag, RI 02859
Phone Number
401-568-1770
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
July 10, 2008
Last Update Date
July 10, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
2076 Wallum Lake RD
Pascoag, RI 02859
Zip
02859
Phone Number
401-568-1770
Pascoag, RI 02859Get directions →

Provider Business Mailing Address Details

Address
195 Admiral Kalbfus RD Apt 12E
Newport, RI 02840-1372
City
Newport
State
RI
Zip
02840-1372
Phone Number
718-909-6197

License Information

Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. James E Sullivan, MA PSY?

The NPI number of Mr. James E Sullivan, MA PSY is 1730343666. It was assigned on July 10, 2008 and is currently active in the NPPES registry.

What is the specialty of Mr. James E Sullivan, MA PSY?

Mr. James E Sullivan, MA PSY is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X).

Where does Mr. James E Sullivan, MA PSY practice?

The practice location is 2076 Wallum Lake RD, Pascoag, RI 02859. The office can be reached at 401-568-1770 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730343666 directly on the NPPES registry website.

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