Individual provider Active NPI

Christopher Thomas Sullivan

  • Psychiatry Physician
  • Batavia, IL
National Provider Identifier
1184086456
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036.151666 Issued in IL
Practice address
11 N Batavia Ave Ste 209
Batavia, IL 60510-1922
Phone
(630) 526-3179
NPI assigned
Mar 24, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036.151666 IL Primary

Addresses

Primary practice location

11 N Batavia Ave Ste 209
Batavia, IL 60510-1922

Mailing address

11 N Batavia Ave Ste 209
Batavia, IL 60510-1922
Phone (630) 526-3179

Other practice location 1

37W755 Il Route 38 Ste A
St Charles, IL 60175-7557
Phone (630) 232-6840

Other practice location 2

1845 Grandstand Pl
Elgin, IL 60123-6603
Phone (847) 695-0484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250709002358 IL Practitioner - Psychiatry 6507151057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Texas Southwestern Medical School at Dallas, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1845 Grandstand PL
Elgin, IL 60123-6603
Phone (847) 695-0484

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.151666ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ecker Center for Behavioral Health CurrentSince Apr 25, 2025 Accepting new patients
Ecker Center for Behavioral Health CurrentSince Apr 25, 2025 Accepting new patients
Ecker Center for Behavioral Health Psychiatry Current Accepting new patients
Ecker Center for Behavioral Health Past Accepting new patients

Locations

1845 Grandstand Pl
Elgin, IL 60123

Interoperability endpoints

  • Direct secure messaging: csullivan337279@direct.ynhh.org

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1184086456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 N BATAVIA AVE STE 209",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605101922",
            "telephone_number": "630-526-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N BATAVIA AVE STE 209",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605101922",
            "telephone_number": "630-526-3179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37W755 Il Route 38 Ste A",
            "address_purpose": "LOCATION",
            "city": "St Charles",
            "state": "IL",
            "postal_code": "601757557",
            "country_code": "US",
            "telephone_number": "630-232-6840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1845 Grandstand Pl",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601236603",
            "country_code": "US",
            "telephone_number": "847-695-0484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "THOMAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-24",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.151666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, IL

Sources for this page

Verify at the official NPI Registry.