Active NPIIndividual providerSole proprietor

Dr. John P Sullivan Jr., PSYD

Psychologist, Clinical in Newport, Rhode Island

NPI Number1225368145
Practice location
8 Bradford Ave, Newport, RI 02840-2202
Fax
—
Last updated
December 29, 2009

John Patrick Sullivan is a Psychologist, Clinical based in Newport, RI. John Patrick Sullivan practices in Newport, RI and has the professional credentials of PSYD. The NPI Number for John Patrick Sullivan is 1225368145 and holds a License No. PS00871 (RI). The current practice location address for John Patrick Sullivan is 8 Bradford Ave, Newport, RI 02840-2202 and can be reached out via phone at 401-258-6754.

Provider Profile Details

NPI Number
1225368145
Provider Name
John Patrick Sullivan
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
8 Bradford Ave, Newport, RI 02840-2202
Phone Number
401-258-6754
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
December 29, 2009
Last Update Date
December 29, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
8 Bradford Ave
Newport, RI 02840-2202
Zip
02840-2202
Phone Number
401-258-6754
Newport, RI 02840Get directions →

Provider Business Mailing Address Details

Address
8 Bradford Ave
Newport, RI 02840-2202
City
Newport
State
RI
Zip
02840-2202
Phone Number
401-258-6754

License Information

License Number (1)
PS00871
License State (1)
RI
Taxonomy (1)
Psychologist, Clinical · 103TC0700X · Primary
License Number (2)
PS00871
License State (2)
RI
Taxonomy (2)
Psychologist, Exercise & Sports · 103TE1100X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. John P Sullivan Jr., PSYD?

The NPI number of Dr. John P Sullivan Jr., PSYD is 1225368145. It was assigned on December 29, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. John P Sullivan Jr., PSYD?

Dr. John P Sullivan Jr., PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in RI under license number PS00871.

Where does Dr. John P Sullivan Jr., PSYD practice?

The practice location is 8 Bradford Ave, Newport, RI 02840-2202. The office can be reached at 401-258-6754 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225368145 directly on the NPPES registry website.

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