Daina Sullivan, LGPAT

Primary specialty

Art TherapistTaxonomy code 221700000X

License

ATG322 Issued in MD

Practice address

2230 Old Emmorton Rd
Bel Air, MD 21015-6106

Phone

(410) 529-2151

NPI assigned

Nov 29, 2022

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

Practice roles

Locations

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.

• Renewal Counseling Center, Inc

  • Clinical Social Worker
  • Bel Air, MD
  • NPI 1255941084
  NPD
• Renewal Counseling Center, Inc

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1417086737
  NPD

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1841900933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 WINTON AVE",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 OLD EMMORTON RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156106",
            "telephone_number": "410-529-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "DAINA",
        "credential": "LGPAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "MD",
            "license": "ATG322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorraine Stuchinski, PT
• Ian Stump, LCPC
• Elizabeth Sturm
• Karen Marie Sugden, MED MSW
• David F Sulkowski, D.O.
• Maureen C Sullivan, D.O.
• Brianna D Summers, LGPC
• Summit Ambulatory Surgical Center, LLC
• Summit Community Health, Inc
• Summit Community Health, Inc.

• Art Therapist in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Art Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.