MICHAEL KEVIN SULLIVAN
NPI 1336808179
Counselor - Mental Health in Jacksonville, FL
About Michael Kevin Sullivan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL KEVIN SULLIVAN (NPI 1336808179) is an individual mental health provider in Jacksonville, Florida and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Michael Kevin Sullivan 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.
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.
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 Michael Sullivan's NPI number?
The NPI number for Michael Sullivan is 1336808179. It was assigned to this individual provider in the NPPES registry on December 9, 2021.
Where is Michael Sullivan located?
Michael Sullivan practices at 3027 San Diego Rd, Jacksonville, FL 32207. The listed phone number is (904) 493-7744.
What is Michael Sullivan's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Michael Sullivan enrolled in Medicare?
Yes. Michael 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.
What insurance does Michael Sullivan accept?
Health plans from Oscar Health Maintenance Organization of Florida list Michael Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Michael Sullivan was last updated on December 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Michael Kevin Sullivan · NPI 1336808179
Mental Health provider in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since December 9, 2021.
## Identity
- **NPI:** 1336808179 (Entity type: Individual)
- **Enumerated:** December 9, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 3027 SAN DIEGO RD, Jacksonville, FL 32207-3691
- **Phone:** (904) 493-7744
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** December 9, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1336808179) · Data from the CMS NPPES public registry.