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SIOBHAN SULLIVAN CASAC
NPI 1467860379
Counselor - Addiction (Substance Use Disorder) in Waterloo, NY

Active since July 24, 2014
31 THURBER DR, WATERLOO, NY 13165(315) 539-1985 Get Directions Write a Review

NPPES record last updated: July 24, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Siobhan Sullivan Casac NPPES

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

SIOBHAN SULLIVAN CASAC (NPI 1467860379) is an individual addiction (substance use disorder) provider in Waterloo, New York, licensed in New York (5873) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1467860379
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSIOBHAN SULLIVANCredential: CASAC
Location Address31 THURBER DRWaterloo, NY 13165-1649
Mailing Address31 Thurber DrWaterloo, NY 13165-1649 · (315) 539-1985
Phone(315) 539-1985
Sole ProprietorNo
Enumeration DateJuly 24, 2014
✔ NPI 1467860379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NY · 5873
31 THURBER DR, Waterloo, NY 13165
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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.

KAREN ALICE BRIGHAM
Case Manager/Care Coordinator
31 THURBER DR
WATERLOO, NY 13165
Seneca County (315) 539-1922
SANDRA J DONLON-LANDSCHOOT RN
Registered Nurse
31 THURBER DR, SUITE 1
WATERLOO, NY 13165
Seneca County (315) 539-1929
EUGENE STOREY JR.
Peer Specialist
31 THURBER DR
WATERLOO, NY 13165
Seneca County (315) 539-1980
MS. MARY P GRACE LCSW, CASAC, CPP
Social Worker (Clinical)
31 THURBER DR
WATERLOO, NY 13165
Seneca County (315) 539-1985
DAVID P LEE LMSW
Social Worker
31 THURBER DR
WATERLOO, NY 13165
Seneca County (315) 539-1985
STACEY LYNN FEGLEY RN, BSN
Registered Nurse
31 THURBER DR
WATERLOO, NY 13165
Seneca County (315) 539-1929
CYNTHIA EILEEN MECKLEY RN
Registered Nurse
31 THURBER DR
WATERLOO, NY 13165
Seneca County (315) 539-1980
MR. RAYMOND RICHARD PETTIS MS, LMHC
Counselor (Mental Health)
31 THURBER DR
WATERLOO, NY 13165
Seneca County (315) 539-1980

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 Siobhan Sullivan's NPI number?

The NPI number for Siobhan Sullivan is 1467860379. It was assigned to this individual provider in the NPPES registry on July 24, 2014.

Where is Siobhan Sullivan located?

Siobhan Sullivan practices at 31 Thurber Dr, Waterloo, NY 13165. The listed phone number is (315) 539-1985.

What is Siobhan Sullivan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Siobhan Sullivan was last updated on July 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.