MICHELLE SULLIVAN CCC-SLP
NPI 1124664461
Speech-Language Pathologist in Modesto, CA

Q: What is Michelle Sullivan's NPI number?

The NPI number for Michelle Sullivan is 1124664461. It was assigned to this individual provider in the NPPES registry on November 21, 2019.

Q: What is Michelle Sullivan's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Sullivan was last updated on November 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since November 21, 2019

4715 YOSEMITE BOULEVARD, MODESTO, CA 95357(209) 574-9707 Get Directions Write a Review

NPPES record last updated: November 21, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michelle Sullivan Ccc-slp NPPES

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

MICHELLE SULLIVAN CCC-SLP (NPI 1124664461) is an individual speech-language pathologist provider in Modesto, California, licensed in California (18889) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1124664461

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMICHELLE SULLIVANCredential: CCC-SLP

Location Address4715 YOSEMITE BOULEVARDModesto, CA 95357

Mailing Address5600 Wilkins AveOakdale, CA 95361-7752 · (209) 499-7832

Phone(209) 574-9707

Sole ProprietorYes

Enumeration DateNovember 21, 2019

✔ NPI 1124664461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in CA · 18889

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

4715 YOSEMITE BOULEVARD, Modesto, CA 95357

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Other Providers at the Same Location NPPES

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

BRIGHTER FUTURES THERAPEUTIC LEARNING CENTER

Occupational Therapist (Pediatrics)

4715 YOSEMITE BOULEVARD
MODESTO, CA 95357

Stanislaus County (209) 574-9707

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 Michelle Sullivan's NPI number?

The NPI number for Michelle Sullivan is 1124664461. It was assigned to this individual provider in the NPPES registry on November 21, 2019.

Where is Michelle Sullivan located?

Michelle Sullivan practices at 4715 Yosemite Boulevard, Modesto, CA 95357. The listed phone number is (209) 574-9707.

What is Michelle Sullivan's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Michelle Sullivan was last updated on November 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.