Deborah L Sullivan

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

500563 Issued in CA

Practice address

411 30TH St
Oakland, CA 94609-3310

Phone

(510) 273-4200

NPI assigned

Mar 17, 2009

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 and National Provider Directory roles.

• Pathways to Wellness

  dba Hhi

  • Community/Behavioral Health Agency
  • Pleasanton, CA
  • NPI 1689025835
  NPD (past)
• Pathways to Wellness

  • Community/Behavioral Health Agency
  • Pleasanton, CA
  • NPI 1922551498
  NPD (past)

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237248000000",
    "number": "1518108794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5674 STONERIDGE DR",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 30TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093310",
            "telephone_number": "510-273-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "DEBORAH",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-17",
        "last_updated": "2009-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "500563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Erin Sulka, PSY.D.
• Kriss Sulka, LCSW
• Rhonda Sullen
• Sullivan Pharmaceuticals Inc (Montclair Pharmacy)
• Andrea Mary Sullivan, D.C., CCSP
• Jalen Sullivan
• Kenya Sherrod Sullivan, MSW
• Laura Lee Sullivan, M.S.CLINICALREHABSE
• Mark Sullivan, PH.D., MFT
• Mollie Frances Sullivan, LM, CPM

• Psychiatric/Mental Health Registered Nurse in Oakland, CA
• Providers in Oakland, CA by specialty
• Psychiatric/Mental Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.