Eileen Marie Sullivan, MFT; PHD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MFT26071 Issued in CA

Practice address

100 Tamal PLZ Ste 170
Corte Madera, CA 94925-1163

Phone

(415) 625-9889

NPI assigned

Feb 12, 2019

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

State licenses

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1689130809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TAMAL PLZ STE 170",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251163",
            "telephone_number": "415-625-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TAMAL PLZ STE 170",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251163",
            "telephone_number": "415-625-9889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1132 Lincoln Way",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "CA",
            "postal_code": "956035155",
            "country_code": "US",
            "telephone_number": "415-625-9889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "EILEEN",
        "middle_name": "MARIE",
        "credential": "MFT; PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFT26071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steps to Freedom
• Molly Merrill Sterling, BOTH PHD AND MFC
• Mackenzie Stewardsnook, L.AC.
• Esther G Stone, M.S,S,W,
• Jan K Stottlemyer, PA
• Stephen H. Sulmeyer, PH.D.
• Whitney Sutak, AMFT
• Elizabeth Suti, LMFT
• Lisa Lynn Sutton, M.P.T
• Suzanne B. Hanson DC a Chiropractic Corporation

• Mental Health Counselor in Corte Madera, CA
• Providers in Corte Madera, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.