Individual provider Active NPI

Leonard Read Sulik, MD

  • Child & Adolescent Psychiatry Physician
  • Denver, CO
National Provider Identifier
1083664130
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
CDR.0006750 Issued in CO
Practice address
777 Bannock St
Denver, CO 80204-4507
Phone
(303) 602-2715
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 42089 MN
Child & Adolescent Psychiatry Physician 2084P0804X CDR.0006750 CO Primary
Psychiatry Physician 2084P0800X 42089 MN

Addresses

Primary practice location

777 Bannock St
Denver, CO 80204-4507

Mailing address

12915 63Rd Ave N
Maple Grove, MN 55369-6001
Phone (763) 383-5800

Other practice location 1

3415 Saint Paul Ave
Minneapolis, MN 55416-4342
Phone (612) 284-3220

Other practice location 2

1 Capital Way
Pennington, NJ 08534-2520
Phone (609) 303-4000

Other identifiers 2

IdentifierTypeStateIssuer
640727700MedicaidMN
CDR.0006750MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Leonard.Sulik@capitalhealth.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040608000044 MN Practitioner - Psychiatry 6305829821 Reassigns benefits to 1 organization
I20260430004377 CO Practitioner - Psychiatry 6305829821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Minnesota Medical School, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Portages Health LLCGroup PAC ID 6800269861, 3 clinicians

Practice addresses (Care Compare)

310 4TH Ave S
Minneapolis, MN 55415-1053
Phone (320) 492-2232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42089MNMDPsychiatry Physician
CDR.0006750COMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portages Health LLC CurrentSince Nov 11, 2022 Accepting new patients
Collaborative Counseling LLC PastSince Feb 1, 2020 Accepting new patients

Locations

310 4th Ave S
Ste 5010
Minneapolis, MN 55415
Phone (320) 492-2232

Interoperability endpoints

  • Direct secure messaging: leonard.sulik@capitalhealth.cernerdirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1083664130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12915 63RD AVE N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553696001",
            "telephone_number": "763-383-5800",
            "fax_number": "763-559-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 BANNOCK ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044507",
            "telephone_number": "303-602-2715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3415 Saint Paul Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554164342",
            "country_code": "US",
            "telephone_number": "612-284-3220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Capital Way",
            "address_purpose": "LOCATION",
            "city": "Pennington",
            "state": "NJ",
            "postal_code": "085342520",
            "country_code": "US",
            "telephone_number": "609-303-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULIK",
        "first_name": "LEONARD",
        "middle_name": "READ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MN",
            "license": "42089",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CO",
            "license": "CDR.0006750",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "42089",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "640727700",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CDR.0006750",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Leonard.Sulik@capitalhealth.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Capital Way",
            "city": "Pennington",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085342520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.