Vincent Sullo

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

439 South Union St
Suit 116
Methuen, MA 01843

Phone

(979) 682-9222

NPI assigned

Nov 3, 2016

Last updated

Nov 3, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Tmin Services IncGroup PAC ID 0840657862, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Tmin Services, Inc.

  • Community/Behavioral Health Agency
  • Burlington, MA
  • NPI 1225734262
  Medicare reassignment Care Compare group NPD
• Square Medical Group LLC

  • Adult Mental Health Clinic/Center
  • Watertown, MA
  • NPI 1356515464
  Medicare reassignment NPD

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1306398565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 S UNION ST",
            "address_2": "SUIT 116",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018432837",
            "telephone_number": "978-682-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 SOUTH UNION ST",
            "address_2": "SUIT 116",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "01843",
            "telephone_number": "979-682-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLO",
        "first_name": "VINCENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-03",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steward Holy Family Hospital, Inc. (Steward Home Medical Equipment - Holy Family Hospital)
• Karolyne Stimpson, NP
• Jessica Ann Stowell
• Erin Catherine Sullivan, AGPCNP-BC
• John F Sullivan, RPH
• Summit Physical Therapy & Rehabilitation Services, Inc.
• Zhi Sun
• Sunbridge Healthcare Corporation (SunBridge Care & Rehab - Broadway)
• Jin Woo Sung, DC
• Surgical Assistants of New England

• Clinical Social Worker in Methuen, MA
• Providers in Methuen, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.