GWENDOLYN SULLIVAN
NPI 1730716754
Counselor - Mental Health in Yorktown Heights, NY

Active since March 27, 2020PECOS Enrolled
1940 COMMERCE ST STE 300, YORKTOWN HEIGHTS, NY 10598(914) 245-0437 Get Directions Write a Review

NPPES record last updated: March 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gwendolyn Sullivan NPPES

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

GWENDOLYN SULLIVAN (NPI 1730716754) is an individual mental health provider in Yorktown Heights, New York, licensed in New York (009625) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1730716754
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameGWENDOLYN SULLIVAN
Location Address1940 COMMERCE ST STE 300Yorktown Heights, NY 10598-4448
Mailing Address667 Stoneleigh Ave Ste 202Carmel, NY 10512-2455 · (845) 279-5908
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 27, 2020
NPPES CertifiedMarch 27, 2020
NPI 1730716754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NY · 009625
1940 COMMERCE ST STE 300, Yorktown Heights, NY 10598

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Gwendolyn Sullivan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193203974
PECOS Enrollment IDI20260203000256
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

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

Counselor (Mental Health)
1940 COMMERCE ST STE 300
YORKTOWN HEIGHTS, NY 10598
Social Worker (Clinical)
1940 COMMERCE ST STE 300
YORKTOWN HEIGHTS, NY 10598

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 Gwendolyn Sullivan's NPI number?

The NPI number for Gwendolyn Sullivan is 1730716754. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Where is Gwendolyn Sullivan located?

Gwendolyn Sullivan practices at 1940 Commerce St Ste 300, Yorktown Heights, NY 10598. The listed phone number is (914) 245-0437.

What is Gwendolyn Sullivan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Gwendolyn Sullivan enrolled in Medicare?

Yes. Gwendolyn Sullivan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gwendolyn Sullivan was last updated on March 27, 2020. 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.