Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306314927 Individual Practitioner Female Practitioner

Nicole Ann Sullivan

Developmental Therapist • Plainville, CT

Professional Overview & Biography Verified Profile Summary

Nicole Sullivan is a registered healthcare professional specializing in Developmental Therapist in Plainville, CT. Practice services are available at 56 W MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

56 W Main St

Plainville, CT 060621904

Telephone 8603515407
Associated Practice Facility / Clinic
🏢 Innovative Autism Services Facility NPI 1760700033

Specialty Benchmarks & Practice Insights

Comparative analytics for Developmental Therapist in Plainville, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Plainville, CT (215 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-07-20
Developmental Therapist Primary Specialty

NUCC Taxonomy Code: 222Q00000X

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.

Secondary Practice Locations

345 Greenwood St Ste A

Worcester, MA 016071767

Phone: 5083630200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Kimberleigh Rohland

Developmental Therapist

NPI 1073167219
Melissa Grondin , RBT

Behavior Technician

NPI 1144898537

Registered Behavior Technician

NPI 1194103473

MSBCBA

Audriana Vassel

Behavior Analyst

NPI 1376139212
Kalilah Dyer

Behavior Analyst

NPI 1457880502
Maxanne Kass

Speech-Language Pathologist

NPI 1497099337

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location July 20, 2021

Registered at 56 W MAIN ST, PLAINVILLE, CT 060621904 (Tel: 8603515407)

NPI Profile Active November 13, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location November 13, 2018

Registered at 345 GREENWOOD ST STE A, WORCESTER, MA 016071767 (Tel: 5083630200)

📍
Updated Business Mailing Address November 13, 2018

Registered at 31 TOWER RD, MANCHESTER, CT 060422830 (Tel: 8608036618)

👤
Provider Name / Credentials Updated November 13, 2018

Recorded as NICOLE SULLIVAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2018

Developmental Therapist

🟢
Initial NPI Registration & Enumeration November 13, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306314927
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 13, 2018
Last Update: July 20, 2021
Sole Proprietor: Yes

Mailing Address

31 Tower Rd

Manchester, CT 060422830

Phone: 8608036618

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.