DR. THERESA PAULETTE SULLIVAN AUD
NPI 1205055076
Audiologist in Lake Katrine, NY

Q: What is Theresa Sullivan's NPI number?

The NPI number for Theresa Sullivan is 1205055076. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Q: What is Theresa Sullivan's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Q: When was this NPI record last updated?

The NPPES record for Theresa Sullivan was last updated on January 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 24, 2007

250 TUYTENBRIDGE RD, LAKE KATRINE, NY 12449(845) 336-7235(845) 336-4726 Get Directions Write a Review

NPPES record last updated: January 25, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Theresa Paulette Sullivan Aud NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THERESA PAULETTE SULLIVAN AUD (NPI 1205055076) is an individual audiologist in Lake Katrine, New York, licensed in New York (001487) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1205055076

Entity TypeIndividualFemale

Primary Taxonomy231H00000X

Provider Legal NameDR. THERESA PAULETTE SULLIVANCredential: AUD

Location Address250 TUYTENBRIDGE RDLake Katrine, NY 12449-5429

Mailing Address513 Pine RdCopake, NY 12516-1109 · (518) 329-5761

Phone(845) 336-7235

Fax(845) 336-4726

Sole ProprietorYes

Enumeration DateApril 24, 2007

Last NPPES UpdateJanuary 25, 2011

✔ NPI 1205055076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers

Taxonomy Code231H00000X

License✔ Licensed in NY · 001487

Definition

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

Also ListedSpeech-Language PathologistTaxonomy 235Z00000X · License 001886 (NY)

250 TUYTENBRIDGE RD, Lake Katrine, NY 12449

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Other Identifiers 3

Medicare ID-Type UnspecifiedW03821NY

Medicare UPINB18708NY

Medicaid00473001NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CALLA GOUDREAU

Speech-Language Pathologist