PAUL J SULLIVAN
NPI 1356824486
Counselor - Addiction (Substance Use Disorder) in Gloversville, NY

Active since September 14, 2018
11-12 BROADWAY AVE, GLOVERSVILLE, NY 12078(518) 725-4310(518) 725-2556 Get Directions Write a Review

NPPES record last updated: September 14, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Paul J Sullivan NPPES

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

PAUL J SULLIVAN (NPI 1356824486) is an individual addiction (substance use disorder) provider in Gloversville, New York, licensed in New York (28067) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1356824486
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NamePAUL J SULLIVAN
Location Address11-12 BROADWAY AVEGloversville, NY 12078
Mailing Address2h Fulham RdClifton Park, NY 12065-6322 · (518) 244-0155
Fax(518) 725-2556
Sole ProprietorYes
Enumeration DateSeptember 14, 2018
NPI 1356824486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in NY · 28067
11-12 BROADWAY AVE, Gloversville, NY 12078

Other Names 1

Professional Name (2)Paul J Sullivan Casac

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 Paul Sullivan's NPI number?

The NPI number for Paul Sullivan is 1356824486. It was assigned to this individual provider in the NPPES registry on September 14, 2018. The provider is also known as Paul J Sullivan Casac.

Where is Paul Sullivan located?

Paul Sullivan practices at 11-12 Broadway Ave, Gloversville, NY 12078. The listed phone number is (518) 725-4310.

What is Paul Sullivan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Paul Sullivan was last updated on September 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.