Maria Sullivan

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

ASW72754 Issued in CA

Practice address

1734 Jefferson St
Ste. B
Napa, CA 94559-1732

Phone

(707) 227-4448

Fax

(707) 635-8215

NPI assigned

Oct 29, 2016

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

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.

• Burnett Therapeutic Services, Inc.

  • Community/Behavioral Health Agency
  • Napa, CA
  • NPI 1508210444
  NPD (past)

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

{
    "created_epoch": "1477699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477699200000",
    "number": "1760934368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1734 JEFFERSON ST",
            "address_2": "STE. B",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945591732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1734 JEFFERSON ST",
            "address_2": "STE. B",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945591732",
            "telephone_number": "707-227-4448",
            "fax_number": "707-635-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-29",
        "last_updated": "2016-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW72754",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW72754",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "CA",
            "license": "ASW72754",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas E Suard, M.D.
• Wendy Suarez Ramos
• David Suarez, M.D.
• Stephen Andrew Sudekum, DO
• Alexis-Rose T Sullins
• Hamza Sulman
• Craig Sultan, O.D.
• Kaiser Sultana, M.D.
• Nuzhat Sultana, MFTI
• Damaje Summers

• Mental Health Counselor in Napa, CA
• Providers in Napa, 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 Oct 29, 2016; 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.