KATHRYN SULLIVAN
NPI 1649754953
Marriage & Family Therapist in Monrovia, CA

Q: What is Kathryn Sullivan's NPI number?

The NPI number for Kathryn Sullivan is 1649754953. It was assigned to this individual provider in the NPPES registry on September 21, 2018.

Q: What is Kathryn Sullivan's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Kathryn Sullivan enrolled in Medicare?

No. Kathryn Sullivan has opted out of Medicare through March 19, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kathryn Sullivan was last updated on June 13, 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.

Active since September 21, 2018Opted out of Medicare · through Mar 19, 2028

211 S PRIMROSE AVE, MONROVIA, CA 91016(626) 429-0790 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 13, 2024, Sep 21, 2018 (2 updates tracked since 2018).

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About Kathryn Sullivan NPPES

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

KATHRYN SULLIVAN (NPI 1649754953) is an individual marriage & family therapist in Monrovia, California and active in the NPI registry since September 2018. She has opted out of Medicare through March 19, 2028.

NPPES Registry Identity

NPI1649754953

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameKATHRYN SULLIVAN

Location Address211 S PRIMROSE AVEMonrovia, CA 91016-2856

Mailing Address80 W Sierra Madre Blvd # 90Sierra Madre, CA 91024-2434

Phone(626) 429-0790

Sole ProprietorYes

Enumeration DateSeptember 21, 2018

Last NPPES UpdateJune 13, 20242 updates tracked since enumeration

NPPES CertifiedJune 13, 2024

✔ NPI 1649754953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

211 S PRIMROSE AVE, Monrovia, CA 91016

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kathryn Sullivan has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 19, 2024 through March 19, 2028.

Opt-Out Effective DateMarch 19, 2024

Opt-Out In Effect ThroughMarch 19, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

THE PLACE WITHIN-SOUTHERN CALIFORNIA

Clinic/Center (Mental Health (Including Community Mental Health Center))