DR. TIMOTHY JAMES SULLIVAN JR. M.D.
NPI 1417956400
Psychiatry & Neurology - Psychiatry in Kingsport, TN

Q: What is Timothy Sullivan's NPI number?

The NPI number for Timothy Sullivan is 1417956400. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Q: What is Timothy Sullivan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Sullivan was last updated on January 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 20, 2005

2300 PAVILION DR, KINGSPORT, TN 37660(423) 587-5571(423) 587-5237 Get Directions Write a Review

NPPES record last updated: January 13, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Timothy James Sullivan Jr. M.d. NPPES

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

DR. TIMOTHY JAMES SULLIVAN JR. M.D. (NPI 1417956400) is an individual psychiatry provider in Kingsport, Tennessee, licensed in Tennessee (MD18502) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1417956400

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. TIMOTHY JAMES SULLIVAN JR.Credential: M.D.

Location Address2300 PAVILION DRKingsport, TN 37660-4622

Mailing Address1021 W Oakland Ave, Suite 207Johnson City, TN 37604-2191 · (423) 915-3104 · Fax (423) 952-3109

Phone(423) 587-5571

Fax(423) 587-5237

Sole ProprietorNo

Enumeration DateJuly 20, 2005

Last NPPES UpdateJanuary 13, 2009

✔ NPI 1417956400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in TN · MD18502

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

2300 PAVILION DR, Kingsport, TN 37660

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Other Identifiers 2

Medicaid3882277TN

Medicare ID-Type Unspecified3882277TN

Other Providers at the Same Location NPPES 20

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

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