Dr. Nicole Sullivan, PHD
Psychologist, Clinical in East Orange, New Jersey
1992366918- Practice location
- 385 Tremont Ave, East Orange, NJ 07018-1023
- Phone
- 973-676-1000
- Fax
- —
- Last updated
- December 28, 2021
Nicole Sullivan is a Psychologist, Clinical based in East Orange, NJ. Nicole Sullivan practices in East Orange, NJ and has the professional credentials of PHD. The NPI Number for Nicole Sullivan is 1992366918 and holds a License No. 023037 (NY). The current practice location address for Nicole Sullivan is 385 Tremont Ave, East Orange, NJ 07018-1023 and can be reached out via phone at 973-676-1000.
Provider Profile Details
- NPI Number
- 1992366918
- Provider Name
- Nicole Sullivan
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 385 Tremont Ave, East Orange, NJ 07018-1023
- Phone Number
- 973-676-1000
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 21, 2019
- Last Update Date
- December 28, 2021
- Certification Date
- December 28, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 385 Tremont Ave
East Orange, NJ 07018-1023 - City
- East Orange
- State
- New Jersey
- Zip
- 07018-1023
- Phone Number
- 973-676-1000
Provider Business Mailing Address Details
- Address
- 385 Tremont Ave
East Orange, NJ 07018-1023 - City
- East Orange
- State
- NJ
- Zip
- 07018-1023
License Information
- License Number (1)
- 023037
- License State (1)
- NY
- Taxonomy (1)
- Psychologist, Clinical · 103TC0700X
- Taxonomy (2)
- Psychologist, Health · 103TH0004X
- License Number (3)
- 35SI00624500
- License State (3)
- NJ
- Taxonomy (3)
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologist, Clinical providers near East Orange, NJ
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- Bernice DavisPsychologist, Clinical · NPI 1871992396
- Danielle M Kurlander, PSYDPsychologist, Clinical · NPI 1952154981
- Dr. Alejandro Interian, PHDPsychologist, Clinical · NPI 1659451391
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- Dr. Andrea C Cruz, PSYDPsychologist, Clinical · NPI 1629361332
Frequently Asked Questions
What is the NPI number of Dr. Nicole Sullivan, PHD?
The NPI number of Dr. Nicole Sullivan, PHD is 1992366918. It was assigned on June 21, 2019 and is currently active in the NPPES registry.
What is the specialty of Dr. Nicole Sullivan, PHD?
Dr. Nicole Sullivan, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NY under license number 023037.
Where does Dr. Nicole Sullivan, PHD practice?
The practice location is 385 Tremont Ave, East Orange, NJ 07018-1023. The office can be reached at 973-676-1000 (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 1992366918 directly on the NPPES registry website.