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KEITH PATRICK SULLIVAN
NPI 1073491353
Counselor - Addiction (Substance Use Disorder) in San Diego, CA

Active since August 25, 2025
3340 KEMPER ST STE 105, SAN DIEGO, CA 92110(619) 523-8121 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keith Patrick Sullivan NPPES

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

KEITH PATRICK SULLIVAN (NPI 1073491353) is an individual addiction (substance use disorder) provider in San Diego, California, licensed in California (22064) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1073491353
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKEITH PATRICK SULLIVAN
Location Address3340 KEMPER ST STE 105San Diego, CA 92110-4907
Mailing Address3340 Kemper St Ste 105San Diego, CA 92110-4907 · (619) 523-8121
Phone(619) 523-8121
Sole ProprietorNo
Enumeration DateAugust 25, 2025
NPPES CertifiedAugust 25, 2025
✔ NPI 1073491353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 22064
3340 KEMPER ST STE 105, San Diego, CA 92110
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Other Providers at the Same Location NPPES 20

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

PABLO R SAMAYOA SUDRC
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121
JUDITH MARIE YOUNG SUDRC 11732
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121
MRS. MADELINE ELIZABETH ROCHA MS, LMFT
Counselor (Mental Health)
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121
LYDIA E. LOPEZ
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121
LISA KAY ANTCLIFF SUDRC # 22517
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121
MS. MONICA LEA PEDDICORD CADC-II
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121
MARIE G DENIS
Counselor
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121
TYRICO Z TROTTY SUDCC IV
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
San Diego County (619) 674-3302

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 Keith Sullivan's NPI number?

The NPI number for Keith Sullivan is 1073491353. It was assigned to this individual provider in the NPPES registry on August 25, 2025.

Where is Keith Sullivan located?

Keith Sullivan practices at 3340 Kemper St Ste 105, San Diego, CA 92110. The listed phone number is (619) 523-8121.

What is Keith Sullivan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Keith Sullivan was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.