Elizabeth Sullivan-Well

Primary specialty

Mental Health Occupational TherapistTaxonomy code 225XM0800X

License

000788 Issued in CT

Practice address

145 Grove St
Waterbury, CT 06710-2202

Phone

(203) 753-7205

NPI assigned

Jun 19, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1770922197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 NATHAN CT",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067081917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 GROVE ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067102202",
            "telephone_number": "203-753-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN-WELL",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "CT",
            "license": "000788",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "000788",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Stumpf
• Eleanor Elizabeth Stutz, M.D.
• Wendy Sufra
• Stephanie L. Sugin, M.D.
• Hajrie Sulejmani
• Anna Sullivan, APRN
• Jacqueline A Sullivan, MSW
• Kathleen Lea Sullivan, APRN
• Lindsey Ann Sullivan, MSW,BA
• Meghan Sullivan, RD

• Mental Health Occupational Therapist in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Mental Health Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.