Katherine Kelly Sullivan

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00900800 Issued in NJ

Practice address

222 Mount Airy Rd
Basking Ridge, NJ 07920-2335

Phone

(908) 350-9143

NPI assigned

Aug 14, 2025

Last updated

Aug 14, 2025By the provider in NPPES

Sex

Unspecified or another gender identity

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

Locations

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.

• Happy Mango Mental Health PC

  dba Ellie Mental Health

  • Clinical Social Worker
  • Morristown, NJ
  • NPI 1710695044
  NPD

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

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1700762754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 HAWTHORNE RD",
            "city": "ESSEX FELLS",
            "state": "NJ",
            "postal_code": "070211411",
            "telephone_number": "973-865-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 MOUNT AIRY RD",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079202335",
            "telephone_number": "908-350-9143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "KATHERINE",
        "middle_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00900800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eva Spingarn, MSN RN CPNP-AC CCRN
• Elizabeth Stryker, D.P.T.
• Jennifer Lynne Stull, LCSW
• Stacey Suggs, OTR/L
• Joseph Chang Suh, PHARM D
• Clare Chui Ling Sun, MD
• Sunrise Third (Pool IV), LLC (Sunrise of Basking Ridge)
• Angela Suvarna, R.N., APN, FNP-C
• Marjorie E Tapia, MS, RN, GNP-BC
• Saeeda S Tayyab, RD

• Mental Health Counselor in Basking Ridge, NJ
• Providers in Basking Ridge, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.