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CAMILLE SULLIVAN
NPI 1053840140
Counselor - Mental Health in Sandy, UT

Active since June 12, 2017
8686 S 1300 E, SANDY, UT 84094(801) 709-0748 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2019, Jun 16, 2018, Jun 12, 2017 (3 updates tracked since 2017).

About Camille Sullivan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAMILLE SULLIVAN (NPI 1053840140) is an individual mental health provider in Sandy, Utah, licensed in Utah (79071956004) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1053840140
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCAMILLE SULLIVAN
Location Address8686 S 1300 ESandy, UT 84094-1947
Mailing Address8686 S 1300 ESandy, UT 84094-1947 · (801) 750-9090
Phone(801) 709-0748
Sole ProprietorNo
Enumeration DateJune 12, 2017
Last NPPES UpdateJune 11, 20193 updates tracked since enumeration
✔ NPI 1053840140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in UT · 79071956004
8686 S 1300 E, Sandy, UT 84094
Open in Google Maps ↗

Other Identifiers 1

Medicaid26-4573566UT

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER BRYANT ACMHC
Counselor (Mental Health)
8686 S 1300 E
SANDY, UT 84094
Salt Lake County (801) 709-0748
CORINNE SULLIVAN
Counselor (Addiction (Substance Use Disorder))
8686 S 1300 E
SANDY, UT 84094
Salt Lake County (801) 709-0748
KELLY JO PHILLIPS APRN
Nurse Practitioner (Family)
8686 S 1300 E
SANDY, UT 84094
Salt Lake County (801) 997-0368

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Camille Sullivan's NPI number?

The NPI number for Camille Sullivan is 1053840140. It was assigned to this individual provider in the NPPES registry on June 12, 2017.

Where is Camille Sullivan located?

Camille Sullivan practices at 8686 S 1300 E, Sandy, UT 84094. The listed phone number is (801) 709-0748.

What is Camille Sullivan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Camille Sullivan was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.