Active NPI
Leonard Read Sulik, MD
- Child & Adolescent Psychiatry Physician
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- CDR.0006750
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 640727700 | Medicaid | MN | |
| CDR.0006750 | Medicaid | CO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Leonard.Sulik@capitalhealth.cernerdirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Minnesota Medical School, 1993
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 42089 | MN | MD | Psychiatry Physician |
| CDR.0006750 | CO | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portages Health LLC | Current | Accepting new patients | |
| Collaborative Counseling LLC | Past | Accepting new patients |
Locations
310 4th Ave S
Ste 5010
Minneapolis, MN 55415
Phone (320) 492-2232
Interoperability endpoints
- 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.
-
- Prescribing (Medical) Psychologist
- Minneapolis, MN
- NPI 1942945761
-
- General Practice Physician
- Denver, CO
- NPI 1477569838
-
- Mental Health Counselor
- Maple Grove, MN
- NPI 1598034324
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.