Active NPI
Deborah Anne Sullivan, NPP
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
National Provider Identifier
1659689552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F401311-1
- Practice address
- 1250 Broadway
22ND Floor
New York, NY 10001-3701 - Phone
- (212) 609-7840
- Fax
- (646) 388-0279
- NPI assigned
- Sep 14, 2010
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F401311-1 | NY | Primary |
Addresses
Primary practice location
1250 Broadway
22ND Floor
New York, NY 10001-3701
Mailing address
1250 Broadway
22ND Floor
New York, NY 10001
Phone (212) 609-7840
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F401311-1 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284422400000",
"number": "1659689552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 BROADWAY",
"address_2": "22ND FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10001",
"telephone_number": "212-609-7840",
"fax_number": "212-564-8937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 BROADWAY",
"address_2": "22ND FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100013701",
"telephone_number": "212-609-7840",
"fax_number": "646-388-0279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "DEBORAH",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "NPP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-14",
"last_updated": "2010-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F401311-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.