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GARY SULLIVAN
NPI 1235556762
Case Manager/Care Coordinator in Las Cruces, NM

Active since March 21, 2014
602 WEINRICH RD TRLR 6, LAS CRUCES, NM 88007(575) 405-6989 Get Directions Write a Review

NPPES record last updated: October 19, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gary Sullivan NPPES

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

GARY SULLIVAN (NPI 1235556762) is an individual case manager/care coordinator provider in Las Cruces, New Mexico and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1235556762
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameGARY SULLIVAN
Location Address602 WEINRICH RD TRLR 6Las Cruces, NM 88007-4857
Mailing Address385 Calle De Alegra Ste ALas Cruces, NM 88005-3423 · (575) 526-1105 · Fax (575) 524-4266
Phone(575) 405-6989
Sole ProprietorNo
Enumeration DateMarch 21, 2014
Last NPPES UpdateOctober 19, 2015
✔ NPI 1235556762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
602 WEINRICH RD TRLR 6, Las Cruces, NM 88007
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Other Identifiers 1

Medicaid74481NM

Other Providers at the Same Location NPPES

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

CAROL SULLIVAN CASE MANAGER
Massage Therapist
602 WEINRICH RD TRLR 6
LAS CRUCES, NM 88007
Doña Ana County (575) 496-1162

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 Gary Sullivan's NPI number?

The NPI number for Gary Sullivan is 1235556762. It was assigned to this individual provider in the NPPES registry on March 21, 2014.

Where is Gary Sullivan located?

Gary Sullivan practices at 602 Weinrich Rd Trlr 6, Las Cruces, NM 88007. The listed phone number is (575) 405-6989.

What is Gary Sullivan's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Gary Sullivan was last updated on October 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.