RICHARD JOHN SULLIVAN JR.
NPI 1497488001
Counselor - Professional in Santa Cruz, CA

Q: What is Richard Sullivan's NPI number?

The NPI number for Richard Sullivan is 1497488001. It was assigned to this individual provider in the NPPES registry on July 1, 2022.

Q: What is Richard Sullivan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Richard Sullivan was last updated on November 13, 2023. 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.

Active since July 01, 2022PECOS Enrolled

380 ENCINAL ST STE 200, SANTA CRUZ, CA 95060(831) 469-1700(831) 425-1905 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 13, 2023, May 17, 2023 (2 updates tracked since 2023).

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About Richard John Sullivan Jr. NPPES

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

RICHARD JOHN SULLIVAN JR. (NPI 1497488001) is an individual professional provider in Santa Cruz, California, licensed in California (14953) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1497488001

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameRICHARD JOHN SULLIVAN JR.

Location Address380 ENCINAL ST STE 200Santa Cruz, CA 95060-2178

Mailing Address380 Encinal St Ste 200Santa Cruz, CA 95060-2178 · (831) 469-1700 · Fax (831) 425-1905

Phone(831) 469-1700

Fax(831) 425-1905

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 1, 2022

Last NPPES UpdateNovember 13, 20232 updates tracked since enumeration

NPPES CertifiedNovember 13, 2023

✔ NPI 1497488001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in CA · 14953

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCommunity Health WorkerTaxonomy 172V00000X

380 ENCINAL ST STE 200, Santa Cruz, CA 95060

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richard John Sullivan Jr. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426533381

PECOS Enrollment IDI20260327003781

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

TERESA MARIA MCINERNEY

Counselor (Mental Health)