MS. KELLY ANN SULLIVAN M.A., M.F.T.
NPI 1235205022
Marriage & Family Therapist in San Diego, CA

Q: What is Kelly Sullivan's NPI number?

The NPI number for Kelly Sullivan is 1235205022. It was assigned to this individual provider in the NPPES registry on November 26, 2006.

Q: What is Kelly Sullivan's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Sullivan was last updated on October 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 26, 2006PECOS EnrolledAccepts Medicare Assignment

9939 HIBERT ST, STE. 108, SAN DIEGO, CA 92131(619) 733-3655(858) 578-3800 Get Directions Write a Review

NPPES record last updated: October 27, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Kelly Ann Sullivan M.a., M.f.t. NPPES

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

MS. KELLY ANN SULLIVAN M.A., M.F.T. (NPI 1235205022) is an individual marriage & family therapist in San Diego, California, licensed in California (49023) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1235205022

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMS. KELLY ANN SULLIVANCredential: M.A., M.F.T.

Location Address9939 HIBERT ST, STE. 108San Diego, CA 92131-1029

Mailing Address9939 Hibert St, Ste. 108San Diego, CA 92131-1029 · (619) 733-3655 · Fax (858) 578-3800

Phone(619) 733-3655

Fax(858) 578-3800

Sole ProprietorYes

Medical School CMSOtherGraduated 2005

Enumeration DateNovember 26, 2006

Last NPPES UpdateOctober 27, 2011

✔ NPI 1235205022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 49023

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

9939 HIBERT ST, San Diego, CA 92131

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Kelly Ann Sullivan M.a., M.f.t. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789153347

PECOS Enrollment IDI20260513002826

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 1235205022. It was assigned to this individual provider in the NPPES registry on November 26, 2006.

Where is Kelly Sullivan located?

Kelly Sullivan practices at 9939 Hibert St Ste. 108, San Diego, CA 92131. The listed phone number is (619) 733-3655.

What is Kelly Sullivan's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Kelly Sullivan enrolled in Medicare?

Yes. Kelly Sullivan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kelly Sullivan was last updated on October 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.