Sarah M Sullivan, CADC II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

A063900224 Issued in CA

Practice address

22122 Sherman Way Ste 105
Canoga Park, CA 91303-1159

Phone

(310) 989-9628

NPI assigned

May 13, 2025

Sex

Female

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

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1972394617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10656 CAMARILLO ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916021404",
            "telephone_number": "310-989-9628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22122 SHERMAN WAY STE 105",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031159",
            "telephone_number": "310-989-9628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "SARAH",
        "middle_name": "M",
        "credential": "CADC II",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "A063900224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• STS Clinic
• Ethan Styadi
• Casey Suh
• Oliver Sulit
• John W Sullivan, CADC II
• Megan Sumergido
• Summit Intensive Outpatient Program
• Sunshine Home Health Agencies Inc.
• Supreme Home Health Services
• Supreme Home Health Services Inc.

• Addiction (Substance Use Disorder) Counselor in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.