Amy Jean Sullivan

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

139 Cornell St
Kingston, NY 12401-3633

Phone

(845) 338-1234

Fax

(845) 338-6284

NPI assigned

Jun 21, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Amy Sullivan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Hudson Valley Health Specialties, Inc

  • Clinic/Center
  • Kingston, NY
  • NPI 1184703308
  NPD (past)
• Nysarc Inc. Ulster, Greene, Putnam Counties Chapter

  • Developmental Disabilities Clinic/Center
  • Kingston, NY
  • NPI 1164467007
  NPD (past)

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1427344167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 BOSCO DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285403727",
            "telephone_number": "845-532-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CORNELL ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013633",
            "telephone_number": "845-338-1234",
            "fax_number": "845-338-6284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Bosco Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285403727",
            "country_code": "US",
            "telephone_number": "845-532-1936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "AMY",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "082906-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009781",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "SULLIVAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• George William Strein Jr., RPH
• Alexandria Strika, OTR/L
• Kari Susan Studt
• Subooha Zafar, MD LLC
• Sana T. Subzwari, MD
• Patricia Ann Sullivan, PT
• Jonathan Paul Sumber, DPM
• Carol Sutcliffe
• Melissa Anne Swart
• Kari Danielle Sweeney, OD

• Mental Health Counselor in Kingston, NY
• Providers in Kingston, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.