Active NPI
Michelle Sullivan, PH.D.
- Behavior Analyst
- Scituate, MA
National Provider Identifier
1851726350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 22 Wampatuck Ave
Scituate, MA 02066-2930 - Phone
- (781) 987-3580
- NPI assigned
- Sep 4, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
22 Wampatuck Ave
Scituate, MA 02066-2930
Mailing address
22 Wampatuck Ave
Scituate, MA 02066-2930
Phone (781) 987-3580
Other names 1
- Michelle Thibault
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378252800000",
"number": "1851726350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 WAMPATUCK AVE",
"city": "SCITUATE",
"state": "MA",
"postal_code": "020662930",
"telephone_number": "781-987-3580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 WAMPATUCK AVE",
"city": "SCITUATE",
"state": "MA",
"postal_code": "020662930",
"telephone_number": "781-987-3580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "MICHELLE",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-04",
"last_updated": "2013-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "THIBAULT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Scituate, MA
- South Shore Medical Investors, LLC (Life Care Center of the South Shore)
- Rebecca E Southard, DPM
- Speech on the Beach, LLC
- Jeanne Spillane, PT
- Straight Talk Speech & Language Therapy, LLC
- Shelley K Sullivan, LIC. AC.
- Suzanne M. Otte, LLC
- Kristin Swan, M.S., CCC-SLP
- Kimberley Cynthia Taylor, FNP-C
- Regina Tempesta, LICSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.