SULLIVAN PSYCHIATRIC GROUP, PLLC
NPI 1366879025
Psychiatry & Neurology - Child & Adolescent Psychiatry in Louisville, KY

Q: What is Sullivan Psychiatric Group, PLLC's NPI number?

The NPI number for Sullivan Psychiatric Group, PLLC is 1366879025. It was assigned to this organization in the NPPES registry on September 26, 2013.

Q: What is Sullivan Psychiatric Group, PLLC's specialty?

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

Active since September 26, 2013

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

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 6, 2024, Jan 9, 2020, Jan 11, 2018 (3 updates tracked since 2018).

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About Sullivan Psychiatric Group, Pllc NPPES

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

SULLIVAN PSYCHIATRIC GROUP, PLLC (NPI 1366879025) is a healthcare organization registered as a child & adolescent psychiatry in Louisville, Kentucky and active in the NPI registry since September 2013. The organization lists John Paul Sullivan, Owner, as its authorized official.

NPPES Registry Identity

NPI1366879025

Entity TypeOrganization

Primary Taxonomy2084P0804X

Legal Business NameSULLIVAN PSYCHIATRIC GROUP, PLLC

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

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

Phone(502) 451-5121

Fax(502) 451-5125

Organization SubpartNo

Authorized OfficialJohn Paul SullivanOwner · (502) 451-5121

Enumeration DateSeptember 26, 2013

Last NPPES UpdateNovember 6, 20243 updates tracked since enumeration

NPPES CertifiedNovember 6, 2024

✔ NPI 1366879025 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 · 21704

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

4011 GARDINER POINT DR STE 101, Louisville, KY 40213

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 ›

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)