John Peter Sullivan, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

16164 Issued in CA

Practice address

2797 Park Ave Ste 207
Santa Clara, CA 95050-6063

Phone

(408) 286-4325

NPI assigned

Jun 23, 2006

Last updated

Jan 29, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1144256934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 PARK AVE STE 207",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950506030",
            "telephone_number": "408-296-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2797 PARK AVE STE 207",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950506063",
            "telephone_number": "408-286-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JOHN",
        "middle_name": "PETER",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "16164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amily Suh, DPT
• Eun Young Suh
• Parvin Suliamani
• Andrea N Sullivan, MD
• Hannah Rose Sullivan
• Kerry M. Sullivan, MD
• Sammir Michael Sullivan, MD
• Suman Ramakumar DDS Inc (Northern Dental)
• Suman Ramakumar DDS Inc (ACCU Dental & Orthodontics)
• Jennifer R. Sumant, MD

• Clinical Psychologist in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.

Verify at the official NPI Registry.