Caitlin Marie Sullivan, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL014631 Issued in PA

Practice address

625 Community Way
Lancaster, PA 17603-2301

Phone

(717) 393-0424

NPI assigned

Sep 12, 2018

Last updated

Aug 8, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1326521642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2745 CHESTNUT RUN RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174028855",
            "telephone_number": "717-870-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 COMMUNITY WAY",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032301",
            "telephone_number": "717-393-0424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "276 Green Ave Ext",
            "address_purpose": "LOCATION",
            "city": "Lewistown",
            "state": "PA",
            "postal_code": "170449707",
            "country_code": "US",
            "telephone_number": "717-242-5727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2919 Breezewood Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283035283",
            "country_code": "US",
            "telephone_number": "910-484-1711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "CAITLIN",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL014631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Sugar, LCSW
• Susan Suglia, FNP-C
• Amber C Sullenberger, PT
• Ashley Sullivan, LSW
• Brian P Sullivan, M.D.
• Erin Lynne Sullivan, MA, LPC, NCC
• Jade C Sullivan, BA
• Lindsey Renee Sullivan, LAMFT
• Timothy Eric Sullivan Jr., PA-C
• Cashai Sumpter

• Speech-Language Pathologist in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.