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DR. LAURA JEAN SULLIVAN PSY.D.
NPI 1184861882
Psychologist - Forensic in Represa, CA

Active since January 16, 2009
100 PRISON RD, REPRESA, CA 95671(916) 985-8610 Get Directions Write a Review

NPPES record last updated: January 16, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Laura Jean Sullivan Psy.d. NPPES

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

DR. LAURA JEAN SULLIVAN PSY.D. (NPI 1184861882) is an individual forensic provider in Represa, California, licensed in California (PSY 22206) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1184861882
Entity TypeIndividualFemale
Primary Taxonomy103TF0200X
Provider Legal NameDR. LAURA JEAN SULLIVANCredential: PSY.D.
Location Address100 PRISON RDRepresa, CA 95671-3000
Mailing AddressPo Box 6781Folsom, CA 95763-6781 · (916) 985-8610
Phone(916) 985-8610
Sole ProprietorNo
Enumeration DateJanuary 16, 2009
✔ NPI 1184861882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ForensicBehavioral Health & Social Service Providers
Taxonomy Code103TF0200X
License✔ Licensed in CA · PSY 22206
Definition
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
100 PRISON RD, Represa, CA 95671
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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.

GENEVA MARIE PALMER PHD
Psychologist (Clinical)
100 PRISON RD
REPRESA, CA 95671
Sacramento County (916) 985-8610
DR. CATHERINE JANE PRUDHOMME PH.D.
Psychologist (Clinical)
100 PRISON RD
REPRESA, CA 95671
Sacramento County (916) 985-8610
MAI ONG THAO
Student in an Organized Health Care Education/Training Program
100 PRISON RD
REPRESA, CA 95671
Sacramento County (916) 985-8610
SUSANNA FARINA PHD
Psychologist (Clinical)
100 PRISON RD
REPRESA, CA 95671
Sacramento County (916) 985-8610
DR. JAMES CHARLES GALLWEY PHARM.D.
Pharmacist
100 PRISON RD
REPRESA, CA 95671
Sacramento County (916) 985-8610
SHEA ALVAREZ PH.D.
Student in an Organized Health Care Education/Training Program
100 PRISON RD
REPRESA, CA 95671
Sacramento County (916) 985-8610
DR. MELINDA SUSAN DICIRO PSY.D.
Psychologist (Clinical)
100 PRISON RD
REPRESA, CA 95671
Sacramento County (916) 985-8610
MARSHA EVANS
Psychologist (Forensic)
100 PRISON RD
REPRESA, CA 95671
Sacramento County (860) 655-3753

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 Laura Sullivan's NPI number?

The NPI number for Laura Sullivan is 1184861882. It was assigned to this individual provider in the NPPES registry on January 16, 2009.

Where is Laura Sullivan located?

Laura Sullivan practices at 100 Prison Rd, Represa, CA 95671. The listed phone number is (916) 985-8610.

What is Laura Sullivan's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Forensic, with taxonomy code 103TF0200X.

When was this NPI record last updated?

The NPPES record for Laura Sullivan was last updated on January 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.