Paula Sullivan

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

C21961214 Issued in CA

Practice address

9662 Ball Rd Apt 7
Anaheim, CA 92804-5352

Phone

(714) 213-4691

NPI assigned

Oct 24, 2006

Last updated

Jan 29, 2021By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Woodglen Recovery Junction Incorporated

  • Substance Abuse Rehabilitation Facility
  • Fullerton, CA
  • NPI 1437244159
  NPD (past)
• Woodglen West Detox

  • Substance Abuse Rehabilitation Facility
  • Fullerton, CA
  • NPI 1093268849
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1316021611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 W ORANGETHORPE AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928322806",
            "telephone_number": "714-213-4691",
            "fax_number": "714-578-2964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9662 BALL RD APT 7",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928045352",
            "telephone_number": "714-213-4691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "PAULA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "C21961214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Sullivan
• August Sullivan
• Brandon Kai Sullivan, RADT
• Bryce Sullivan
• Kevin Sullivan
• Michael Sultan, MD
• Sarah Sultani
• Jennifer Lee Sum
• Joseph Y.C. Sum, D.D.S.
• Alwyn Teano Sumabat, MD

• Addiction (Substance Use Disorder) Counselor in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.