Laura Sullivan, LMSW

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

098201-1-9853022UPD Issued in NY

Practice address

321 W Onondaga St
Syracuse, NY 13202-3207

Phone

(315) 478-0610

Fax

(315) 478-2510

NPI assigned

Jun 11, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central New York Services, Inc.

  • Multi-Specialty Clinic/Center
  • Utica, NY
  • NPI 1407363492
  NPD (past)
• Central New York Services, Inc.

  • Adult Mental Health Clinic/Center
  • Syracuse, NY
  • NPI 1821491903
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1023501590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 W ONONDAGA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023262",
            "telephone_number": "315-478-0610",
            "fax_number": "315-478-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 W ONONDAGA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023207",
            "telephone_number": "315-478-0610",
            "fax_number": "315-478-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "LAURA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NY",
            "license": "098201-1-9853022UPD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Sullivan, M.S.
• Jeanne Theresa Sullivan, O.T.
• Joseph Charles Sullivan, MD
• Katherine Sullivan
• Kathleen Sullivan
• Lisa A Sullivan
• Ross William Sullivan, MD
• Stephanie Elisabeth Sullivan, F.N.P.
• Thomas Sullivan, PTA
• William Edward Sullivan, PHD

• Multi-Specialty Clinic/Center in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Multi-Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.