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NICOLE MARIE SULLIVAN
NPI 1669802732
Residential Treatment Facility, Emotionally Disturbed Children in Grass Valley, CA

Active since November 26, 2013
714 W MAIN STREET, GRASS VALLEY, CA 95945(530) 477-9800(530) 477-9803 Get Directions Write a Review

NPPES record last updated: November 26, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicole Marie Sullivan NPPES

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

NICOLE MARIE SULLIVAN (NPI 1669802732) is an individual residential treatment facility, emotionally disturbed children provider in Grass Valley, California and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1669802732
Entity TypeIndividualFemale
Primary Taxonomy322D00000X
Provider Legal NameNICOLE MARIE SULLIVAN
Location Address714 W MAIN STREETGrass Valley, CA 95945
Mailing Address714 W. Main St.Grass Valley, CA 95945 · (530) 477-9800 · Fax (530) 477-9803
Phone(530) 477-9800
Fax(530) 477-9803
Sole ProprietorYes
Enumeration DateNovember 26, 2013
✔ NPI 1669802732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
714 W MAIN STREET, Grass Valley, CA 95945
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Other Providers at the Same Location NPPES 3

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

ANGELA HOPE MCCLAIN
Counselor
714 W MAIN STREET
GRASS VALLEY, CA 95945
Nevada County (530) 477-9800
ZOE JADE LIVINGSTON KRAUSE
Counselor
714 W MAIN STREET
GRASS VALLEY, CA 95945
Nevada County (530) 477-9800
KELSIE HALFORD BRIGHT
Counselor
714 W MAIN STREET
GRASS VALLEY, CA 95945
Nevada County (530) 477-9800

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 Nicole Sullivan's NPI number?

The NPI number for Nicole Sullivan is 1669802732. It was assigned to this individual provider in the NPPES registry on November 26, 2013.

Where is Nicole Sullivan located?

Nicole Sullivan practices at 714 W Main Street, Grass Valley, CA 95945. The listed phone number is (530) 477-9800.

What is Nicole Sullivan's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Nicole Sullivan was last updated on November 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.