Active NPIIndividual providerSole proprietor

Dr. James M Sullivan, PHD

Counselor, Professional in Brookfield, Connecticut

NPI Number1851315758
Practice location
5 Junction RD, Brookfield, CT 06804-3414
Fax
203-775-0389
Last updated
January 12, 2011

James Michael Sullivan is a Counselor, Professional based in Brookfield, CT. James Michael Sullivan practices in Brookfield, CT and has the professional credentials of PHD. The NPI Number for James Michael Sullivan is 1851315758 and holds a License No. 000052 (CT). The current practice location address for James Michael Sullivan is 5 Junction RD, Brookfield, CT 06804-3414 and can be reached out via phone at 203-775-6997 and via fax at 203-775-0389.

Provider Profile Details

NPI Number
1851315758
Provider Name
James Michael Sullivan
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
5 Junction RD, Brookfield, CT 06804-3414
Phone Number
203-775-6997
Fax Number
203-775-0389
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
Yes
Provider Enumeration Date
July 26, 2006
Last Update Date
January 12, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 Junction RD
Brookfield, CT 06804-3414
Zip
06804-3414
Phone Number
203-775-6997
Fax Number
203-775-0389
Brookfield, CT 06804Get directions →

Provider Business Mailing Address Details

Address
5 Junction RD
Brookfield, CT 06804-3414
City
Brookfield
State
CT
Zip
06804-3414
Phone Number
203-775-6997
Fax Number
203-775-0389

License Information

License Number
000052
License State
CT
Taxonomy
Counselor, Professional · 101YP2500X · 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 Dr. James M Sullivan, PHD?

The NPI number of Dr. James M Sullivan, PHD is 1851315758. It was assigned on July 26, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. James M Sullivan, PHD?

Dr. James M Sullivan, PHD is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 000052.

Where does Dr. James M Sullivan, PHD practice?

The practice location is 5 Junction RD, Brookfield, CT 06804-3414. The office can be reached at 203-775-6997 (phone) or 203-775-0389 (fax).

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 1851315758 directly on the NPPES registry website.

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