John Sullenbarger, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35.144093 Issued in OH

Practice address

15455 NW Greenbrier Pkwy Ste 120
Beaverton, OR 97006-8115

Phone

(503) 476-1189

NPI assigned

Mar 19, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, OR2 enrollments

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 2

Specialty

Psychiatry

Education

Wright State University Boonshoft School of Medicine, 2018

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Mindful Health Northwest LLCGroup PAC ID 0648668111, 3 clinicians

Access Ohio LLCGroup PAC ID 4385899053, 31 clinicians

Access Behavioral LLCGroup PAC ID 1052595402, 23 clinicians

Mahajan Therapeutics, LLCGroup PAC ID 8820236524, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://ehr.charmtracker.com/api/ehr/v1/fhir
• Direct secure messaging: john.sullenbarger.2@415.direct.athenahealth.com

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

• Mindful Health Northwest LLC

  • Psychiatry Physician
  • Portland, OR
  • NPI 1144993015
  Medicare reassignment Care Compare group NPD
• Access Behavioral LLC

  • Medical Specialty Clinic/Center
  • Columbus, OH
  • NPI 1437463213

  Psychiatry

  Medicare reassignment Care Compare group NPD
• Access Ohio, LLC

  • Community/Behavioral Health Agency
  • Columbus, OH
  • NPI 1689763740
  Medicare reassignment Care Compare group NPD
• Mahajan Therapeutics, LLC

  • Community/Behavioral Health Agency
  • Dayton, OH
  • NPI 1669531810
  Medicare reassignment Care Compare group NPD
• Uvpc Specialists Inc.

  • Surgery Physician
  • Troy, OH
  • NPI 1831115492
  Medicare reassignment NPD
• Access Ohio, LLC

  • Substance Abuse Rehabilitation Facility
  • Dayton, OH
  • NPI 1194179150
  NPD
• Uvpc Specialists, Inc.

  • Orthopaedic Surgery Physician
  • Troy, OH
  • NPI 1699911446
  NPD

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1356845176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15455 NW GREENBRIER PKWY STE 120",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970068115",
            "telephone_number": "503-476-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15455 NW GREENBRIER PKWY STE 120",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970068115",
            "telephone_number": "503-476-1189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 College Park",
            "address_2": "Gosiger Hall, 1st Floor",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "45459",
            "country_code": "US",
            "telephone_number": "937-229-3141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2611 Wayne Ave",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454201833",
            "country_code": "US",
            "telephone_number": "937-367-2146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6300 N Main St",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454153154",
            "country_code": "US",
            "telephone_number": "937-275-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLENBARGER",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-19",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.144093",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD198576",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Suarez
• Kimberly Suek, LPN
• Jamie Sugai
• Sherisse Suggs
• Samuel S Suk, MD
• Brooke Sullivan, FNP-C
• Shaina Marie Sullivan
• Jennifer Sumega, RDH
• Rachael Ann Summers, LMT
• Sundara Acupuncture LLC

• Psychiatry Physician in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Psychiatry Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.