Sarah Danielle Sullivan, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

406723 Issued in NY

Practice address

905 Greene County Office BLDG
Cairo, NY 12413-2868

Phone

(518) 622-9163

NPI assigned

Feb 6, 2025

Last updated

Mar 4, 2025By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

County of GreeneGroup PAC ID 9133038219, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sarahsullivan@gcmh.medentdirect.com

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.

• County of Greene

  dba Greene County Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cairo, NY
  • NPI 1255360046
  Medicare reassignment Care Compare group NPD
• County of Greene

  dba Greene County Community Health

  • Clinic/Center
  • Catskill, NY
  • NPI 1932281706
  NPD

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

{
    "created_epoch": "1738800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1588478705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 FABRELLO LN",
            "city": "PINE PLAINS",
            "state": "NY",
            "postal_code": "125675412",
            "telephone_number": "845-489-8295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 GREENE COUNTY OFFICE BLDG",
            "city": "CAIRO",
            "state": "NY",
            "postal_code": "124132868",
            "telephone_number": "518-622-9163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "243 W 18th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100114569",
            "country_code": "US",
            "telephone_number": "646-453-7474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "187 S Canaan Rd",
            "address_purpose": "LOCATION",
            "city": "Canaan",
            "state": "CT",
            "postal_code": "060182544",
            "country_code": "US",
            "telephone_number": "860-824-1397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "SARAH",
        "middle_name": "DANIELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "14506",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "406723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS NP LICENSE",
            "identifier": "F406723-01",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marissa Slater
• Stacie J Speed, LCSW
• Helena Marie Spooner, FNP
• Erick Stantial, PTA
• Robin Stapley
• Town of Cairo Ambulance Service
• Lisa M Uvino Chapman, LPN
• Daniel Coughlin White, RPH
• Elizabeth Williams
• Meghan Wilson, LMSW

• Psychiatric/Mental Health Nurse Practitioner in Cairo, NY
• Providers in Cairo, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.