DR. PAUL SULLIVAN PSY.D.
NPI 1689873994
Psychologist - Clinical in Costa Mesa, CA

Q: What is Paul Sullivan's NPI number?

The NPI number for Paul Sullivan is 1689873994. It was assigned to this individual provider in the NPPES registry on July 16, 2007.

Q: What is Paul Sullivan's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Paul Sullivan enrolled in Medicare?

No. Paul Sullivan has opted out of Medicare through January 1, 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 Paul Sullivan was last updated on July 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 16, 2007Opted out of Medicare · through Jan 1, 2028

2900 BRISTOL ST, SUITE A108, COSTA MESA, CA 92626(714) 432-0042 Get Directions Write a Review

NPPES record last updated: July 16, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Paul Sullivan Psy.d. NPPES

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

DR. PAUL SULLIVAN PSY.D. (NPI 1689873994) is an individual clinical provider in Costa Mesa, California, licensed in California (PSY18437) and active in the NPI registry since July 2007. He has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1689873994

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. PAUL SULLIVANCredential: PSY.D.

Location Address2900 BRISTOL ST, SUITE A108Costa Mesa, CA 92626-5981

Mailing Address2900 Bristol St, Suite A108Costa Mesa, CA 92626-5981 · (714) 432-0042

Phone(714) 432-0042

Sole ProprietorNo

Enumeration DateJuly 16, 2007

✔ NPI 1689873994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY18437

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

2900 BRISTOL ST, Costa Mesa, CA 92626

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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

Dr. Paul Sullivan Psy.d. 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 January 1, 2022 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2022

Opt-Out In Effect ThroughJanuary 1, 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.

STEVEN MITCHELL FEINGOLD D.C

Chiropractor

2900 BRISTOL ST, C105
COSTA MESA, CA 92626

Orange County (714) 557-9454

RACHAEL TARFMAN-PEREZ MFT

Marriage & Family Therapist

2900 BRISTOL ST, SUITE G201
COSTA MESA, CA 92626

Orange County (714) 478-2996

MS. DEBRA HELEN SOLSENG MFT

Marriage & Family Therapist

2900 BRISTOL ST, J-204
COSTA MESA, CA 92626

Orange County (949) 701-5930

CAROL J TIMMONS

Clinic/Center (Adult Mental Health)

2900 BRISTOL ST, BLDG. J-206
COSTA MESA, CA 92626

Orange County (714) 751-3370

COMPETENT CAREGIVING

Home Health

2900 BRISTOL ST, SUITE D108
COSTA MESA, CA 92626

Orange County (800) 755-4818

SUKUT DENTAL, INC.

Dentist (General Practice)

2900 BRISTOL ST, SUITE C-102
COSTA MESA, CA 92626

Orange County (714) 540-6852

DR. JAY GATTIS PSY.D.

Psychologist (Clinical)

2900 BRISTOL ST, STE A108
COSTA MESA, CA 92626

Orange County (714) 432-0042

MARYAM KAZI

Marriage & Family Therapist

2900 BRISTOL ST
COSTA MESTA, CA 92626

Orange County (949) 436-6841

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 Paul Sullivan's NPI number?

The NPI number for Paul Sullivan is 1689873994. It was assigned to this individual provider in the NPPES registry on July 16, 2007.

Where is Paul Sullivan located?

Paul Sullivan practices at 2900 Bristol St Suite A108, Costa Mesa, CA 92626. The listed phone number is (714) 432-0042.

What is Paul Sullivan's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Paul Sullivan enrolled in Medicare?

No. Paul Sullivan has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Paul Sullivan was last updated on July 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.