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ROBERT J. SULLIVAN
NPI 1346108727
Counselor - School in South Lake Tahoe, CA

Active since January 13, 2026
1735 LAKE TAHOE BLVD, SOUTH LAKE TAHOE, CA 96150(530) 541-4111 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert J. Sullivan NPPES

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

ROBERT J. SULLIVAN (NPI 1346108727) is an individual school provider in South Lake Tahoe, California, licensed in California (240083382) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1346108727
Entity TypeIndividualMale
Primary Taxonomy101YS0200X
Provider Legal NameROBERT J. SULLIVAN
Location Address1735 LAKE TAHOE BLVDSouth Lake Tahoe, CA 96150-3718
Mailing Address1735 Lake Tahoe BlvdSouth Lake Tahoe, CA 96150-3718 · (530) 541-4111
Phone(530) 541-4111
Sole ProprietorYes
Enumeration DateJanuary 13, 2026
NPPES CertifiedJanuary 13, 2026
✔ NPI 1346108727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers
Taxonomy Code101YS0200X
License✔ Licensed in CA · 240083382
1735 LAKE TAHOE BLVD, South Lake Tahoe, CA 96150
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

MELANIE TAVASIEFF
Registered Nurse (School)
1735 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 318-5450
TAHOE YOUTH & FAMILY SERVICES
Community/Behavioral Health
1735 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 543-2267
NATALIE EVELYN COLLIN
Psychologist (School)
1735 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 541-4111
KIMBERLY ILVENTO PPS
Counselor (School)
1735 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 541-4111
MRS. ROBYN R RASMUSSEN MS
Counselor (School)
1735 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (925) 285-5646

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 Robert Sullivan's NPI number?

The NPI number for Robert Sullivan is 1346108727. It was assigned to this individual provider in the NPPES registry on January 13, 2026.

Where is Robert Sullivan located?

Robert Sullivan practices at 1735 Lake Tahoe Blvd, South Lake Tahoe, CA 96150. The listed phone number is (530) 541-4111.

What is Robert Sullivan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in School, with taxonomy code 101YS0200X.

When was this NPI record last updated?

The NPPES record for Robert Sullivan was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.