Brian Christopher Sullivan, LLP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301012225 Issued in MI

Practice address

3611 N Saginaw Rd
Midland, MI 48640-2384

Phone

(989) 633-3238

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

Yes

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

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.

• Community Mental Health for Central Michigan

  • Psychiatry Physician
  • Mt Pleasant, MI
  • NPI 1881622892
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801970009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 GREENWAY DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486424088",
            "telephone_number": "989-839-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 N SAGINAW RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402384",
            "telephone_number": "989-633-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "BRIAN",
        "middle_name": "CHRISTOPHER",
        "credential": "LLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301012225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Violet Sturdavant, MD
• Ahmad Lutfi Subhi, M.D.
• Erik Jordan Sucher, MD
• Jacquan Suddeth
• Alicia Sullivan
• Elizabeth A Sullivan, LPC
• Shelby Sullivan
• Kim J Sumerix, MSW
• Surendra Kaul, M.D.-P.C.
• Surgical Associates of Midmichigan PC

• Clinical Psychologist in Midland, MI
• Providers in Midland, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.