MISTY SULLIVAN M.ED
NPI 1235476763
Psychologist - Clinical in Louisville, KY

Q: What is Misty Sullivan's NPI number?

The NPI number for Misty Sullivan is 1235476763. It was assigned to this individual provider in the NPPES registry on January 3, 2013.

Q: What is Misty Sullivan's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Misty Sullivan was last updated on January 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 January 03, 2013

1512 BAXTER AVE, LOUISVILLE, KY 40205(502) 262-2887 Get Directions Write a Review

NPPES record last updated: January 30, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Misty Sullivan M.ed NPPES

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

MISTY SULLIVAN M.ED (NPI 1235476763) is an individual clinical provider in Louisville, Kentucky, licensed in Kentucky (166372) and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1235476763

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameMISTY SULLIVANCredential: M.ED

Location Address1512 BAXTER AVELouisville, KY 40205-1009

Mailing Address8206 Highview CtCrestwood, KY 40014-8105 · (502) 794-2965

Phone(502) 262-2887

Sole ProprietorNo

Enumeration DateJanuary 3, 2013

Last NPPES UpdateJanuary 30, 2017

✔ NPI 1235476763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in KY · 166372

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1512 BAXTER AVE, Louisville, KY 40205

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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 Misty Sullivan's NPI number?

The NPI number for Misty Sullivan is 1235476763. It was assigned to this individual provider in the NPPES registry on January 3, 2013.

Where is Misty Sullivan located?

Misty Sullivan practices at 1512 Baxter Ave, Louisville, KY 40205. The listed phone number is (502) 262-2887.

What is Misty Sullivan's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Misty Sullivan was last updated on January 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.