Organization Active NPI

Coryell Autism Center

  • Developmentally Disabled Services Day Training Agency
  • Aptos, CA
National Provider Identifier
1861162034
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
CORYELL AUTISM CENTER
Practice address
3300 Merrill Rd
Aptos, CA 95003
Phone
(831) 291-7464
NPI assigned
Sep 17, 2021
Last updated
Mar 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Authorized official

Name
Marianne Sullivan
Title
President
Phone
(831) 291-7464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

3300 Merrill Rd
Aptos, CA 95003

Mailing address

PO Box 1858
Soquel, CA 95073-2450
Phone (831) 291-7464

National Provider Directory

National Provider Directory

Locations

111 Errett Cir
Santa Cruz, CA 95060

310 Locust St
Santa Cruz, CA 95060
Phone (408) 308-8384

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1861162034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1858",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732450",
            "telephone_number": "831-291-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 MERRILL RD",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "95003",
            "telephone_number": "831-291-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORYELL AUTISM CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-17",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-291-7464"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aptos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.