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CHARLES BRIAN SULLIVAN PMHNP
NPI 1447092671
Nurse Practitioner - Psychiatric/Mental Health in Rochester, NY

Active since June 10, 2024
130 S PLYMOUTH AVE, ROCHESTER, NY 14614(585) 753-4183 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2024, Jun 10, 2024 (2 updates tracked since 2024).

About Charles Brian Sullivan Pmhnp NPPES

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

CHARLES BRIAN SULLIVAN PMHNP (NPI 1447092671) is an individual psychiatric/mental health provider in Rochester, New York, licensed in New York (F405913-01) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1447092671
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameCHARLES BRIAN SULLIVANCredential: PMHNP
Location Address130 S PLYMOUTH AVERochester, NY 14614-2209
Mailing Address130 S Plymouth AveRochester, NY 14614-2213 · (585) 753-4183
Phone(585) 753-4183
Sole ProprietorNo
Enumeration DateJune 10, 2024
Last NPPES UpdateJuly 9, 20242 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1447092671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · F405913-01
130 S PLYMOUTH AVE, Rochester, NY 14614
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Other Providers at the Same Location NPPES 5

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

BROOKE VALENTINO
Nurse Practitioner (Adult Health)
130 S PLYMOUTH AVE
ROCHESTER, NY 14614
Monroe County (585) 753-4300
ANDREANA HARIESHA BROWN-CUNNINGHAM
Registered Nurse
130 S PLYMOUTH AVE
ROCHESTER, NY 14614
Monroe County (585) 753-4085
MRS. MASSON HOPE STINSON PMHDNP
Nurse Practitioner (Psychiatric/Mental Health)
130 S PLYMOUTH AVE
ROCHESTER, NY 14614
Monroe County (585) 205-3587
PATRICIA SMITH
Physician Assistant
130 S PLYMOUTH AVE
ROCHESTER, NY 14614
Monroe County (585) 753-4300
EMILY ACRI PA-C
Physician Assistant
130 S PLYMOUTH AVE
ROCHESTER, NY 14614
Monroe County (800) 245-7277

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 Charles Sullivan's NPI number?

The NPI number for Charles Sullivan is 1447092671. It was assigned to this individual provider in the NPPES registry on June 10, 2024.

Where is Charles Sullivan located?

Charles Sullivan practices at 130 S Plymouth Ave, Rochester, NY 14614. The listed phone number is (585) 753-4183.

What is Charles Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Charles Sullivan was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.