Jacqueline Sullivan, MA

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

BH000449 Issued in PA

Practice address

344 Mary St
Downingtown, PA 19335-2518

Phone

(610) 883-7884

NPI assigned

May 22, 2014

Sex

Female

Sole proprietor

Yes

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 Arts

State licenses

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1689086704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 MARY ST",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193352518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 MARY ST",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193352518",
            "telephone_number": "610-883-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JACQUELINE",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "PA",
            "license": "BH000449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noelle Jessica Stewart, PSY.D.
• Rhonda Stewart, LPC
• David P. Stocker, D.D.S.
• Laina Stricker
• Sue Lischuk Rd LLC
• Alana Summers-Plotno
• Kayleigh Summers, LCSW
• Ashley M Sunil
• Thomas Joseph Suspenski, P.T., A.T.C.
• Joyce Sutton, M.S./CCC-SLP

• Cognitive & Behavioral Psychologist in Downingtown, PA
• Providers in Downingtown, PA by specialty
• Cognitive & Behavioral Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.