Timothy Joseph Sullivan

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

027493 Issued in NY

Practice address

267 5TH Ave Ste 407
New York, NY 10016-7503

Phone

(646) 470-5459

NPI assigned

Aug 29, 2025

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1013896497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 5TH AVE STE 407",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100167503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 5TH AVE STE 407",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100167503",
            "telephone_number": "646-470-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "TIMOTHY",
        "middle_name": "JOSEPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-29",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "027493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spencer William Sullivan
• Stephen Gene Sullivan, MD
• Thomas Sullivan, MD
• Timothy Sullivan, M.D.
• Timothy Bernard Sullivan, M.D.
• Tom M Sullivan, D.C.
• William B. Sullivan, N.P.
• Joshua Sullum, M.D.
• Stanford Norman Sullum, MD
• Joshtin Dale Ordona Sulse

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.