Colin David Sullivan

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

4150 Ute Dr
San Diego, CA 92117-5853

Phone

(858) 283-8941

NPI assigned

Feb 2, 2018

Last updated

Apr 14, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• San Diego Unified School District

  dba Marcy Day School Services

  • Clinical Social Worker
  • San Diego, CA
  • NPI 1003930637
  NPD (past)

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1952800120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 UTE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 UTE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175853",
            "telephone_number": "858-283-8941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "COLIN",
        "middle_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-02",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Lee Sullivan, M.P.T.
• Christina Sue Sullivan
• Christine Ann Sullivan, CNM, FNP, PHD, MSN
• Christopher Sullivan
• Cindy Sullivan
• Daniel Patrick Sullivan Jr.
• Eva Sullivan, PHARMD
• Jeff Allen Sullivan, PH.D., ATC
• John Philip Sullivan, M.D
• Julie Marie Sullivan, M.D.

• Rehabilitation Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.