DAVID SULLIVAN JR. PMHNP-BC
NPI 1639785991
Nurse Practitioner - Psychiatric/Mental Health in Orefield, PA

Active since September 21, 2020
5300 KIDSPEACE DR, OREFIELD, PA 18069(800) 854-3123 Get Directions Write a Review

NPPES record last updated: September 21, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About David Sullivan Jr. Pmhnp-bc NPPES

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

DAVID SULLIVAN JR. PMHNP-BC (NPI 1639785991) is an individual psychiatric/mental health provider in Orefield, Pennsylvania, licensed in Pennsylvania (SP022527) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1639785991
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDAVID SULLIVAN JR.Credential: PMHNP-BC
Location Address5300 KIDSPEACE DROrefield, PA 18069-2000
Mailing Address16 Cactus LnReading, PA 19606-9313 · (484) 554-9180
Sole ProprietorYes
Enumeration DateSeptember 21, 2020
NPPES CertifiedSeptember 21, 2020
NPI 1639785991 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 PA · SP022527
5300 KIDSPEACE DR, Orefield, PA 18069

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.

Family Medicine
5300 KIDSPEACE DR
OREFIELD, PA 18069
Psychiatry & Neurology (Child & Adolescent Psychiatry)
5300 KIDSPEACE DR
OREFIELD, PA 18069
Pediatrics
5300 KIDSPEACE DR
OREFIELD, PA 18069
Psychiatric Residential Treatment Facility
5300 KIDSPEACE DR
OREFIELD, PA 18069
Pediatrics
5300 KIDSPEACE DR
OREFIELD, PA 18069
Physician Assistant (Medical)
5300 KIDSPEACE DR
OREFIELD, PA 18069
Behavior Analyst
5300 KIDSPEACE DR
OREFIELD, PA 18069
Psychiatry & Neurology (Child & Adolescent Psychiatry)
5300 KIDSPEACE DR
OREFIELD, PA 18069

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 David Sullivan's NPI number?

The NPI number for David Sullivan is 1639785991. It was assigned to this individual provider in the NPPES registry on September 21, 2020.

Where is David Sullivan located?

David Sullivan practices at 5300 Kidspeace Dr, Orefield, PA 18069. The listed phone number is (800) 854-3123.

What is David 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 David Sullivan was last updated on September 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.