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DAKOTA LEE SULLIVAN SUD
NPI 1225895238
Counselor - Addiction (Substance Use Disorder) in San Mateo, CA

Active since March 05, 2024
2251 PALM AVE, SAN MATEO, CA 94403(650) 513-6500 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dakota Lee Sullivan Sud NPPES

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

DAKOTA LEE SULLIVAN SUD (NPI 1225895238) is an individual addiction (substance use disorder) provider in San Mateo, California, licensed in California (16815) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1225895238
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameDAKOTA LEE SULLIVANCredential: SUD
Location Address2251 PALM AVESan Mateo, CA 94403-1814
Mailing Address2251 Palm AveSan Mateo, CA 94403-1814 · (650) 613-9055
Phone(650) 513-6500
Sole ProprietorNo
Enumeration DateMarch 5, 2024
NPPES CertifiedMarch 5, 2024
✔ NPI 1225895238 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 · 16815
2251 PALM AVE, San Mateo, CA 94403
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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.

BILL HADDOCK
Counselor (Addiction (Substance Use Disorder))
2251 PALM AVE
SAN MATEO, CA 94403
San Mateo County (650) 513-6500
MARICELA CALVILLO
Counselor (Addiction (Substance Use Disorder))
2251 PALM AVE, 2251 PALM AVE
SAN MATEO, CA 94403
San Mateo County (650) 513-6503
MICHAEL LEWIS ZUMKELLER R1592701224
Counselor (Addiction (Substance Use Disorder))
2251 PALM AVE
SAN MATEO, CA 94403
San Mateo County (209) 273-6265
JOHN MICHAEL MEDINA JR.
Counselor (Addiction (Substance Use Disorder))
2251 PALM AVE
SAN MATEO, CA 94403
San Mateo County (650) 513-6500
MS. ABBY LUCE
Counselor (Addiction (Substance Use Disorder))
2251 PALM AVE
SAN MATEO, CA 94403
San Mateo County (650) 513-6503
AMY FRANKEN SUDRC 17921
Counselor (Addiction (Substance Use Disorder))
2251 PALM AVE
SAN MATEO, CA 94403
San Mateo County (650) 513-6500
ALYSSA CHANELLE ZARAGOZA LVN
Licensed Vocational Nurse
2251 PALM AVE
SAN MATEO, CA 94403
San Mateo County (650) 513-6500
RAFAEL FLORES
Counselor (Addiction (Substance Use Disorder))
2251 PALM AVE
SAN MATEO, CA 94403
San Mateo County (650) 513-6500

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 Dakota Sullivan's NPI number?

The NPI number for Dakota Sullivan is 1225895238. It was assigned to this individual provider in the NPPES registry on March 5, 2024.

Where is Dakota Sullivan located?

Dakota Sullivan practices at 2251 Palm Ave, San Mateo, CA 94403. The listed phone number is (650) 513-6500.

What is Dakota 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 Dakota Sullivan was last updated on March 5, 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.