Active NPI
Sara Elizabeth Sweeney Sullivan, MA, OTR/L
- Occupational Therapist
- San Diego, CA
National Provider Identifier
1346432598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 9542
- Practice address
- 11665 Avena PL
Suite 106
San Diego, CA 92128-2421 - Phone
- (858) 673-5437
- NPI assigned
- Aug 13, 2007
- Last updated
- Feb 19, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 9542 | CA | Primary |
Addresses
Primary practice location
11665 Avena PL
Suite 106
San Diego, CA 92128-2421
Mailing address
8285 Avenida Navidad Unit 3
San Diego, CA 92122-4419
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9542 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235001600000",
"number": "1346432598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8285 AVENIDA NAVIDAD UNIT 3",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921224419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11665 AVENA PL",
"address_2": "SUITE 106",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921282421",
"telephone_number": "858-673-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "SARA",
"middle_name": "ELIZABETH SWEENEY",
"credential": "MA, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-13",
"last_updated": "2009-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "9542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.