Angela Marie Sullivan, M.S.

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

425 S Broadway
Los Angeles, CA 90013-1102

Phone

(213) 213-0100

NPI assigned

Apr 5, 2021

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

Credentials

Master of Science

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.

• Emotional Health Association Share

  • Community/Behavioral Health Agency
  • Los Angeles, CA
  • NPI 1265719843
  NPD (past)
• Emotional Health Association Share

  • Community/Behavioral Health Agency
  • Los Angeles, CA
  • NPI 1295967693
  NPD (past)

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1700465945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6666 GREEN VALLEY CIR",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902307068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131102",
            "telephone_number": "213-213-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Jay Paulino Sulit
• Ashley Sullens
• Veronica Sullins, MD
• Hanorah Sullivan-Houndalas, L.AC., DIPL. AC.
• Andrew Sullivan, PT, DPT
• Asia Jasmine Sullivan, PA-C
• Corissa Dante' Sullivan
• Hannah Leigh Sullivan
• Kathryn Ann Sullivan, AU.D.
• Lindsay Claire Sullivan, MA

• Peer Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.