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MRS. JACLYN JOANN SULLIVAN MA, LMFT
NPI 1285985325
Marriage & Family Therapist in Amityville, NY

Active since September 28, 2012
191 BROADWAY, AMITYVILLE, NY 11701(516) 662-1158 Get Directions Write a Review

NPPES record last updated: July 16, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Jaclyn Joann Sullivan Ma, Lmft NPPES

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

MRS. JACLYN JOANN SULLIVAN MA, LMFT (NPI 1285985325) is an individual marriage & family therapist in Amityville, New York and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1285985325
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. JACLYN JOANN SULLIVANCredential: MA, LMFT
Location Address191 BROADWAYAmityville, NY 11701-2790
Mailing Address1024 N Hamilton AveLindenhurst, NY 11757-2129 · (516) 662-1158
Phone(516) 662-1158
Sole ProprietorYes
Enumeration DateSeptember 28, 2012
Last NPPES UpdateJuly 16, 2015
✔ NPI 1285985325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
191 BROADWAY, Amityville, NY 11701
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Other Providers at the Same Location NPPES 14

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

EMAD FAHMY MA, MBA
Counselor (Mental Health)
191 BROADWAY
AMITYVILLE, NY 11701
Suffolk County (631) 264-0058
MRS. MICHELLE MADISON LCSW
Social Worker (Clinical)
191 BROADWAY
AMITYVILLE, NY 11701
Suffolk County (631) 264-0058
CAROLYN JEANNE FARELLA LCSW
Social Worker (Clinical)
191 BROADWAY
AMITYVILLE, NY 11701
Suffolk County (516) 526-0285
MS. JENNIFER THEO REARDON LCSW
Social Worker (Clinical)
191 BROADWAY
AMITYVILLE, NY 11701
Suffolk County (631) 264-0058
MS. LINSEY K HARRISON LCSW
Social Worker (Clinical)
191 BROADWAY
AMITYVILLE, NY 11701
Suffolk County (631) 264-0058
ELISSA GRUNBLATT LCSW-R
Social Worker (Clinical)
191 BROADWAY
AMITYVILLE, NY 11701
Suffolk County (631) 264-0058
LAUREN KOLONOSKIE
Social Worker (Clinical)
191 BROADWAY
AMITYVILLE, NY 11701
Suffolk County (631) 264-0058
GOLD COAST MENTAL HEALTH COUNSELING
Clinic/Center (Mental Health (Including Community Mental Health Center))
191 BROADWAY
AMITYVILLE, NY 11701
Suffolk County (631) 264-0058

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaclyn Sullivan's NPI number?

The NPI number for Jaclyn Sullivan is 1285985325. It was assigned to this individual provider in the NPPES registry on September 28, 2012.

Where is Jaclyn Sullivan located?

Jaclyn Sullivan practices at 191 Broadway, Amityville, NY 11701. The listed phone number is (516) 662-1158.

What is Jaclyn Sullivan's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Jaclyn Sullivan was last updated on July 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.