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: July 19, 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
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

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Counselor (Mental Health)
191 BROADWAY
AMITYVILLE, NY 11701
Counselor (Mental Health)
191 BROADWAY
AMITYVILLE, NY 11701
Social Worker (Clinical)
191 BROADWAY
AMITYVILLE, NY 11701
Counselor (Mental Health)
191 BROADWAY
AMITYVILLE, NY 11701
Social Worker (Clinical)
191 BROADWAY
AMITYVILLE, NY 11701
Social Worker (Clinical)
191 BROADWAY
AMITYVILLE, NY 11701
Social Worker (Clinical)
191 BROADWAY
AMITYVILLE, NY 11701
Social Worker (Clinical)
191 BROADWAY
AMITYVILLE, NY 11701
Social Worker (Clinical)
191 BROADWAY
AMITYVILLE, NY 11701
Social Worker (Clinical)
191 BROADWAY
AMITYVILLE, NY 11701
Counselor (Mental Health)
191 BROADWAY
AMITYVILLE, NY 11701
Clinic/Center (Mental Health (Including Community Mental Health Center))
191 BROADWAY
AMITYVILLE, NY 11701
Social Worker (Clinical)
191 BROADWAY
AMITYVILLE, NY 11701
Social Worker (Clinical)
191 BROADWAY
AMITYVILLE, NY 11701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285985325, enumerated as an "individual" on September 28, 2012.

The provider is located at 191 BROADWAY AMITYVILLE, NY 11701 and the phone number is (516) 662-1158.

Marriage & Family Therapist with taxonomy code 106H00000X.