Rylee Anne Sulzer

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

148923 Issued in CA

Practice address

705 W la Veta Ave Ste 208
Orange, CA 92868-4448

Phone

(714) 532-9295

Fax

(714) 532-9291

NPI assigned

May 1, 2023

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

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.

• Reclaiming Eros a Marriage and Family Therapy Corporation

  • Marriage & Family Therapist
  • Fullerton, CA
  • NPI 1366397804
  NPD Authorized official
• Twin Town Corporation

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Orange, CA
  • NPI 1407282247
  NPD (past)

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1902595515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 W LA VETA AVE STE 208",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684448",
            "telephone_number": "714-532-9295",
            "fax_number": "714-532-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 W LA VETA AVE STE 208",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684448",
            "telephone_number": "714-532-9295",
            "fax_number": "714-532-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULZER",
        "first_name": "RYLEE",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "148923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Sullivan, M.D.
• Jasmine Faith Sullivan
• Leah Sullivan
• Shannon Allison Sullivan
• Dilara Sultana, PSYCHIATRY NURSE PRA
• Sharlyn Ann Sumbillo Park, MS CCC-SLP
• Leanne Brigh Sumbong
• Michael Summerlin, PH.D.
• Summerville at Cobbco, Inc.
• Bryan Sun, M.D., PH.D

• Marriage & Family Therapist in Orange, CA
• Providers in Orange, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.