KELLY SULLIVAN
NPI 1144066580
Counselor - Mental Health in Freehold, NJ

Active since July 04, 2024
63 W MAIN ST, FREEHOLD, NJ 07728(347) 948-6402 Get Directions Write a Review

NPPES record last updated: July 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Sullivan NPPES

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

KELLY SULLIVAN (NPI 1144066580) is an individual mental health provider in Freehold, New Jersey, licensed in New Jersey (37AC00800800) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1144066580
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY SULLIVAN
Location Address63 W MAIN STFreehold, NJ 07728-2140
Mailing Address1327 Barton AvePoint Pleasant Boro, NJ 08742-4272 · (732) 456-2242
Sole ProprietorNo
Enumeration DateJuly 4, 2024
NPPES CertifiedJuly 4, 2024
NPI 1144066580 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 NJ · 37AC00800800
63 W MAIN ST, Freehold, NJ 07728

Other Providers at the Same Location NPPES 8

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

Social Worker (Clinical)
63 W MAIN ST, STE I
FREEHOLD, NJ 07728
Dentist (General Practice)
63 W MAIN ST
FREEHOLD, NJ 07728
Counselor (Mental Health)
63 W MAIN ST
FREEHOLD, NJ 07728
Counselor (Professional)
63 W MAIN ST
FREEHOLD, NJ 07728
Counselor (Mental Health)
63 W MAIN ST
FREEHOLD, NJ 07728
Dentist (General Practice)
63 W MAIN ST
FREEHOLD, NJ 07728
Social Worker (Clinical)
63 W MAIN ST, SUITE #2
FREEHOLD, NJ 07728
Clinic/Center (Adolescent and Children Mental Health)
63 W MAIN ST
FREEHOLD, NJ 07728

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 Kelly Sullivan's NPI number?

The NPI number for Kelly Sullivan is 1144066580. It was assigned to this individual provider in the NPPES registry on July 4, 2024.

Where is Kelly Sullivan located?

Kelly Sullivan practices at 63 W Main St, Freehold, NJ 07728. The listed phone number is (347) 948-6402.

What is Kelly 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 Kelly Sullivan was last updated on July 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.