Individual provider Active NPI

Troy Sullivan, LMFT

  • Psychologist
  • Laguna Hills, CA
National Provider Identifier
1922796267
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
23461 S Pointe Dr Ste 100
Laguna Hills, CA 92653-1523
Phone
(949) 981-9747
NPI assigned
Apr 25, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CA
Psychologist 103T00000X CA Primary
Marriage & Family Therapist 106H00000X 151351 CA

Addresses

Primary practice location

23461 S Pointe Dr Ste 100
Laguna Hills, CA 92653-1523

Mailing address

23461 S Pointe Dr Ste 100
Laguna Hills, CA 92653-1523
Phone (949) 452-0888

Other practice location 1

1120 W La Veta Ave Ste 400
Orange, CA 92868-4243
Phone (714) 650-8383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250107002262 CA Practitioner - Marriage and Family Therapist 9931637717 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
151351CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shanti Orange County CurrentSince Dec 17, 2024 Accepting new patients

Locations

23461 S Pointe Dr
Ste 100
Laguna Hills, CA 92653
Phone (949) 452-0888

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1922796267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23461 S POINTE DR STE 100",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531523",
            "telephone_number": "949-452-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23461 S POINTE DR STE 100",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531523",
            "telephone_number": "949-981-9747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 W La Veta Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928684243",
            "country_code": "US",
            "telephone_number": "714-650-8383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "TROY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-25",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "151351",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.