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KEITH ALAN SULLIVAN
NPI 1396062873
Clinic/Center - Mental Health (Including Community Mental Health Center) in Oklahoma City, OK

Active since April 23, 2010
5005 N PENNSYLVANIA AVE, 103, OKLAHOMA CITY, OK 73112(405) 753-4269 Get Directions Write a Review

NPPES record last updated: April 23, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keith Alan Sullivan NPPES

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

KEITH ALAN SULLIVAN (NPI 1396062873) is an individual mental health (including community mental health center) provider in Oklahoma City, Oklahoma, licensed in Oklahoma (77-0700929) and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1396062873
Entity TypeIndividualMale
Primary Taxonomy261QM0801X
Provider Legal NameKEITH ALAN SULLIVAN
Location Address5005 N PENNSYLVANIA AVE, 103Oklahoma City, OK 73112-8886
Mailing Address5005 N Pennsylvania Ave, 103Oklahoma City, OK 73112-8886 · (405) 753-4269
Phone(405) 753-4269
Sole ProprietorYes
Enumeration DateApril 23, 2010
✔ NPI 1396062873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in OK · 77-0700929
5005 N PENNSYLVANIA AVE, Oklahoma City, OK 73112
Open in Google Maps ↗

Other Providers at the Same Location NPPES 4

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

MICHAEL S TIDWELL
Social Worker
5005 N PENNSYLVANIA AVE, SUITE 103
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 753-4269
DR. DAWN SINGLETON PH.D.
Psychologist (Clinical)
5005 N PENNSYLVANIA AVE, SUITE 204
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 232-3296
FAMILY TRANSITIONS LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
5005 N PENNSYLVANIA AVE, SUITE 103
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 753-4269
MRS. DORA OLOGWARO UWUDIA LPC
Counselor (Mental Health)
5005 N PENNSYLVANIA AVE, SUITE 103
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 753-4269

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 Keith Sullivan's NPI number?

The NPI number for Keith Sullivan is 1396062873. It was assigned to this individual provider in the NPPES registry on April 23, 2010.

Where is Keith Sullivan located?

Keith Sullivan practices at 5005 N Pennsylvania Ave 103, Oklahoma City, OK 73112. The listed phone number is (405) 753-4269.

What is Keith Sullivan's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Keith Sullivan was last updated on April 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.