Individual provider Active NPI

Rachel M. Sullivan, MD

  • Child & Adolescent Psychiatry Physician
  • Honolulu, HI
National Provider Identifier
1750543294
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
25421 Issued in NE
Practice address
1 Jarrett White Rd, Tripler Army Medical Center
Attn: MCHK-BH, Cafbhs
Honolulu, HI 96859-0000
Phone
(808) 433-6418
NPI assigned
Jun 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25421 NE
General Practice Physician 208D00000X 25421 NE
Child & Adolescent Psychiatry Physician 2084P0804X 25421 NE Primary

Addresses

Primary practice location

1 Jarrett White Rd, Tripler Army Medical Center
Attn: MCHK-BH, Cafbhs
Honolulu, HI 96859-0000

Mailing address

1 Jarrett White Rd, Tripler Army Medical Center
Attn: MCHK-BH, Cafbhs
Honolulu, HI 96859-0000
Phone (808) 433-6418

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25421NEMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1750543294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER",
            "address_2": "ATTN: MCHK-BH, CAFBHS",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968590000",
            "telephone_number": "808-433-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER",
            "address_2": "ATTN: MCHK-BH, CAFBHS",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968590000",
            "telephone_number": "808-433-6418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "RACHEL",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "25421",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NE",
            "license": "25421",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NE",
            "license": "25421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.