Christine Sullivan, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

012710 Issued in NY

Practice address

120 Suffolk St Apt 5B
New York, NY 10002-3373

Phone

(917) 439-3608

NPI assigned

Dec 18, 2008

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229558400000",
    "number": "1497991673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SUFFOLK ST APT 5B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100023373",
            "telephone_number": "917-439-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SUFFOLK ST APT 5B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100023373",
            "telephone_number": "917-439-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "CHRISTINE",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-18",
        "last_updated": "2008-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "012710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Colleen Sullivan, MS, CCC-SLP
• Caitlyn Nicole Sullivan, LMSW
• Caroline Sullivan
• Caroline M Sullivan, NP
• Catherine E Sullivan, LMSW
• Ciara Sullivan, MSW
• Colleen Murphy Sullivan
• Courtney Sullivan, M.S., RRA, RT(R), RD
• Courtney Louise Sullivan
• Daniel J Sullivan, BCBA

• Speech-Language Pathologist in New York, NY
• Providers in New York, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; 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.