Waldena Rose O'Sulliva, MAMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

5776 St. Augustine Road
Jacksonville, FL 32207-2457

Phone

(904) 745-3070

Fax

(904) 745-3087

NPI assigned

Nov 15, 2007

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1982885240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5776 ST. AUGUSTINE ROAD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322072457",
            "telephone_number": "904-745-3070",
            "fax_number": "904-745-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5776 ST. AUGUSTINE ROAD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322072457",
            "telephone_number": "904-745-3070",
            "fax_number": "904-745-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SULLIVA",
        "first_name": "WALDENA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "MAMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rajon O'Quinn
• Regan O'Rourke, LMHC
• Kevin William O'Shaughnessy, D.M.D.
• Lacinda Lou O'Steen, ARNP FNP
• Lillie Emmelhainz O'Steen, M.D.
• Nuala Anne O'Sullivan, ARNP
• Sina O'Sullivan, MD
• Kyle Edward O'Toole, LAT, ATC
• Oak and Ivy Home Care
• Oak Hill Family Care Center Inc.

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.