DR. JOHN PAUL SULLIVAN M.D.
NPI 1356355531
Psychiatry & Neurology - Child & Adolescent Psychiatry in Louisville, KY

Q: What is John Sullivan's NPI number?

The NPI number for John Sullivan is 1356355531. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Q: What is John Sullivan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for John Sullivan was last updated on January 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 July 27, 2006PECOS EnrolledAccepts Medicare Assignment

4011 GARDINER POINT DR STE 101, LOUISVILLE, KY 40213(502) 451-5121(502) 451-5125 Get Directions Write a Review

NPPES record last updated: January 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 9, 2020, Nov 15, 2017 (2 updates tracked since 2017).

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About Dr. John Paul Sullivan M.d. NPPES

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

DR. JOHN PAUL SULLIVAN M.D. (NPI 1356355531) is an individual child & adolescent psychiatry provider in Louisville, Kentucky, licensed in Kentucky (KY21704) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Louisville School Of Medicine (1980).

NPPES Registry Identity

NPI1356355531

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameDR. JOHN PAUL SULLIVANCredential: M.D.

Location Address4011 GARDINER POINT DR STE 101Louisville, KY 40213-1988

Mailing Address4011 Gardiner Point Dr Ste 101Louisville, KY 40213-1988 · (502) 451-5121 · Fax (502) 451-5125

Phone(502) 451-5121

Fax(502) 451-5125

Sole ProprietorYes

Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1980

Enumeration DateJuly 27, 2006

Last NPPES UpdateJanuary 9, 20202 updates tracked since enumeration

✔ NPI 1356355531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in KY · KY21704

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License KY21704 (KY)

4011 GARDINER POINT DR STE 101, Louisville, KY 40213

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Other Identifiers 2

Medicaid100012920AIN

Medicaid64217045KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Dr. John Paul Sullivan M.d. 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 ID1850567439

PECOS Enrollment IDI20120103000486

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

63 services14 patients

Other Providers at the Same Location NPPES 7

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

ANN W SWINTOSKY APRN

Nurse Practitioner (Psychiatric/Mental Health)