Active NPI
Steve Sullivan
- Peer Specialist
- Akron, OH
National Provider Identifier
1366080327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 1567
- Practice address
- 885 E Buchtel Ave
Akron, OH 44305-2338 - Phone
- (330) 535-8116
- NPI assigned
- Dec 20, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 1567 | OH | Primary |
Addresses
Primary practice location
885 E Buchtel Ave
Akron, OH 44305-2338
Mailing address
885 E Buchtel Ave
Akron, OH 44305-2338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1567 | OH | MD | Orthopedic Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oriana House, Inc. | Past | Accepting new patients | |
| Oriana House, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Addiction (Substance Use Disorder) Counselor
- Akron, OH
- NPI 1730127176
-
- Community/Behavioral Health Agency
- Marietta, OH
- NPI 1790249431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576800000000",
"number": "1366080327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "885 E BUCHTEL AVE",
"city": "AKRON",
"state": "OH",
"postal_code": "443052338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "885 E BUCHTEL AVE",
"city": "AKRON",
"state": "OH",
"postal_code": "443052338",
"telephone_number": "330-535-8116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "STEVE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-20",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OH",
"license": "1567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.