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SHANNON MICHELLE SULLIVAN
NPI 1619514239
Rehabilitation Practitioner in Los Angeles, CA

Active since December 02, 2019
679 S NEW HAMPSHIRE AVE, LOS ANGELES, CA 90005(626) 254-5000 Get Directions Write a Review

NPPES record last updated: December 20, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 20, 2019, Dec 2, 2019 (2 updates tracked since 2019).

About Shannon Michelle Sullivan NPPES

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

SHANNON MICHELLE SULLIVAN (NPI 1619514239) is an individual rehabilitation practitioner in Los Angeles, California and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1619514239
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameSHANNON MICHELLE SULLIVAN
Location Address679 S NEW HAMPSHIRE AVELos Angeles, CA 90005-1355
Mailing Address3561 E 6th StLos Angeles, CA 90023-1711 · (413) 386-5500
Phone(626) 254-5000
Sole ProprietorYes
Enumeration DateDecember 2, 2019
Last NPPES UpdateDecember 20, 20192 updates tracked since enumeration
✔ NPI 1619514239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
679 S NEW HAMPSHIRE AVE, Los Angeles, CA 90005
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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 SINGLE SPECIALTY GROUP

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.

DR. JULIA DAVIDOFF M.D.
Psychiatry & Neurology (Psychiatry)
679 S NEW HAMPSHIRE AVE
LOS ANGELES, CA 90005
Los Angeles County (213) 639-2500
ALDEN OMAR GALDAMEZ BA
Case Manager/Care Coordinator
679 S NEW HAMPSHIRE AVE, SUITE 300/350
LOS ANGELES, CA 90005
Los Angeles County (213) 385-5100
DIANA CECILIA PACHECO
Peer Specialist
679 S NEW HAMPSHIRE AVE
LOS ANGELES, CA 90005
Los Angeles County (213) 639-2500
GWENDOLYN PRESTON FNP
Nurse Practitioner (Psychiatric/Mental Health)
679 S NEW HAMPSHIRE AVE
LOS ANGELES, CA 90005
Los Angeles County (213) 639-0251
WENDELL SACRAMENTO
Licensed Psychiatric Technician
679 S NEW HAMPSHIRE AVE
LOS ANGELES, CA 90005
Los Angeles County (213) 639-2663
MS. LORETTA VERNELL GREENE MFTI
Marriage & Family Therapist
679 S NEW HAMPSHIRE AVE
LOS ANGELES, CA 90005
Los Angeles County (213) 385-5100
ZULMA JANETH MOLINA
Day Training/Habilitation Specialist
679 S NEW HAMPSHIRE AVE
LOS ANGELES, CA 90005
Los Angeles County (626) 254-5000
ERIN LOUISE LINK MSW
Counselor (Mental Health)
679 S NEW HAMPSHIRE AVE
LOS ANGELES, CA 90005
Los Angeles County (213) 639-2500

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 Shannon Sullivan's NPI number?

The NPI number for Shannon Sullivan is 1619514239. It was assigned to this individual provider in the NPPES registry on December 2, 2019.

Where is Shannon Sullivan located?

Shannon Sullivan practices at 679 S New Hampshire Ave, Los Angeles, CA 90005. The listed phone number is (626) 254-5000.

What is Shannon Sullivan's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Shannon Sullivan was last updated on December 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.