Sullivan, Nolan & Associates, P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301006105 Issued in MI

Legal business name

SULLIVAN, NOLAN & ASSOCIATES, P.C.

Practice address

3700 W Liberty Rd
Ann Arbor, MI 48103-9056

Phone

(734) 426-0032

Fax

(734) 426-0034

NPI assigned

Jan 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kristina Rask, PH.D.NPI 1538118427

Title

President

Phone

(734) 426-0032

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristina J Rask, PHD

  • Clinical Psychologist
  • Ann Arbor, MI
  • NPI 1538118427
  Medicare reassignment Care Compare group NPD Authorized official
• Kimberly Lynn Paul, PSY.D.

  • Clinical Psychologist
  • Detroit, MI
  • NPI 1336576479
  Medicare reassignment Care Compare group NPD
• Michele Marie Dodds

  • Psychologist
  • Ann Arbor, MI
  • NPI 1225814742
  Medicare reassignment Care Compare group
• Bradley Neal Axelrod, PH.D.

  • Clinical Neuropsychologist
  • Detroit, MI
  • NPI 1316950678
  Medicare reassignment NPD
• Geoffrey Krone, PH.D.

  • Clinical Psychologist
  • Ann Arbor, MI
  • NPI 1568680692
  Medicare reassignment NPD
• Alexander Monroe Rigney, PHD

  • Psychologist
  • Ann Arbor, MI
  • NPI 1851177182
  Medicare reassignment NPD
• Pamela Maratha Schwartz, PH.D.

  • Clinical Psychologist
  • Ann Arbor, MI
  • NPI 1730477613
  Medicare reassignment
• Aaron Sedlar, PHD

  • Clinical Psychologist
  • Ann Arbor, MI
  • NPI 1295344216
  Medicare reassignment
• Robert Kenneth Moesta, MS, LLP

  • Psychologist
  • Ann Arbor, MI
  • NPI 1447384656
  NPD (past)
• Mark Scott Sullivan, PHD

  • Psychologist
  • Ann Arbor, MI
  • NPI 1437205747
  NPD (past)

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

{
    "created_epoch": "1169942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617321600000",
    "number": "1235285487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 W LIBERTY RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039056",
            "telephone_number": "734-426-0032",
            "fax_number": "734-426-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 W LIBERTY RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039056",
            "telephone_number": "734-426-0032",
            "fax_number": "734-426-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN, NOLAN & ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-28",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A",
        "authorized_official_last_name": "RASK",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-426-0032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301006105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "620H176440",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hillary Lynne Sullins Adland, LMSW
• Barbara-Jean B Sullivan, PH.D., NP
• Kathleen Frances Sullivan, PH.D.
• Mark Scott Sullivan, PHD
• Michael Patrick Sullivan, MD
• Omni Cherise Sullivan, NP
• Rachel Sullivan, MD
• Rachel Marcella Sullivan, CGC
• Sean Sullivan, NP-C
• Stephen Sullivan, M.D.

• Clinical Psychologist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.