Ryan James Sullivan

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF82837 Issued in CA

Practice address

11600 Eldridge Ave
Sylmar, CA 91342-6506

Phone

(818) 686-3179

NPI assigned

Aug 21, 2013

Last updated

Nov 3, 2014By the provider in NPPES

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

Practice roles

Locations

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.

• Ryan Sullivan Family Therapy Inc

  • Marriage & Family Therapist
  • Los Angeles, CA
  • NPI 1871124917
  NPD Authorized official

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414972800000",
    "number": "1205260635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11600 ELDRIDGE AVE",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913426506",
            "telephone_number": "818-686-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 ELDRIDGE AVE",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913426506",
            "telephone_number": "818-686-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "RYAN",
        "middle_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-21",
        "last_updated": "2014-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF82837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Strickland Optometric Management Corporation (Sylmar Optometric Vision Center)
• Nicholas Roger Strickland
• Alaina Strollo
• Sneha Subhash, M.D
• Christian Sulit, MD
• Wang-Dar Sun, M.D.
• Sunnara Gold Inc
• Seth A Sushinsky, M.D.
• James Alexander Swanson
• Khine Khine Swe-Miller

• Marriage & Family Therapist in Sylmar, CA
• Providers in Sylmar, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.