Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1457571168 Deactivated / Inactive NPI Male Practitioner

Thomas Roger Sullivan , LLP

Psychologist - Cognitive & Behavioral • Benton Harbor, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Thomas Sullivan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 26, 2007
NPI Deactivation Date January 20, 2021
Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

Thomas Sullivan, LLP was a registered Psychologist - Cognitive & Behavioral practicing in Benton Harbor, MI. Throughout an active medical career spanning 14 years, Thomas Sullivan provided care at the practice location at 1485 SOUTH M-139 until profile deactivation on 2021-01-20.

Practice Location & Contact Primary Location

Practice Address

1485 South M-139

Benton Harbor, MI 49022

Telephone 2699261183
Fax 2699341687

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Cognitive & Behavioral in Benton Harbor, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.0 Yrs
Regional Practice Density
5 Specialists

Practicing in Benton Harbor, MI (127 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

Psychologist - Cognitive & Behavioral Primary Specialty

NUCC Taxonomy Code: 103TB0200X

State License MI 6301008775

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

Practice Associates & Co-Workers

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

27 Associated Practitioners
NPI 1023226552

Bachelor of Social Work

Edith Zars , LLMSW

Social Worker

NPI 1033327531

Limited Licensed Master Social Worker

Larry Heald , BSW

Social Worker

NPI 1063536183

Bachelor of Social Work

Susan Kwon , LPC

Counselor - Professional

NPI 1063698751

Licensed Professional Counselor

Barbara Dzuris , RN

Registered Nurse

NPI 1093927071

Registered Nurse

NPI 1174743892

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 20, 2021

Record deactivated on January 20, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1485 SOUTH M-139, BENTON HARBOR, MI 49022 (Tel: 2699261183)

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Updated Business Mailing Address July 08, 2007

Registered at 1485 SOUTH M-139, BENTON HARBOR, MI 49022 (Tel: 2699261183)

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Provider Name / Credentials Updated July 08, 2007

Recorded as THOMAS SULLIVAN, LLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #6301008775 in MI)

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Initial NPI Registration & Enumeration April 26, 2007

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: 1457571168
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2007
Last Update: July 08, 2007
Deactivation Date: January 20, 2021

Mailing Address

1485 South M-139

Benton Harbor, MI 49022

Phone: 2699261183

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

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