DR. RODNEY ANTHONY SULLIVAN PHD
NPI 1790877561
Clinical Neuropsychologist in Johnson City, TN

Active since September 29, 2006
2 REDBUSH CT, SUITE 2, JOHNSON CITY, TN 37601(423) 952-0992 Get Directions Write a Review

NPPES record last updated: September 4, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Rodney Anthony Sullivan Phd NPPES

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

DR. RODNEY ANTHONY SULLIVAN PHD (NPI 1790877561) is an individual clinical neuropsychologist in Johnson City, Tennessee, licensed in Tennessee (P0000001569) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1790877561
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDR. RODNEY ANTHONY SULLIVANCredential: PHD
Location Address2 REDBUSH CT, SUITE 2Johnson City, TN 37601-4340
Mailing Address2 Redbush Ct, Suite 2Johnson City, TN 37601-4340 · (423) 952-0992
Sole ProprietorNo
Enumeration DateSeptember 29, 2006
Last NPPES UpdateSeptember 4, 2012
NPI 1790877561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License Licensed in TN · P0000001569
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
2 REDBUSH CT, Johnson City, TN 37601

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.

Social Worker (Clinical)
2 REDBUSH CT
JOHNSON CITY, TN 37601
Clinical Neuropsychologist
2 REDBUSH CT, STE 2
JOHNSON CITY, TN 37601

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 Rodney Sullivan's NPI number?

The NPI number for Rodney Sullivan is 1790877561. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is Rodney Sullivan located?

Rodney Sullivan practices at 2 Redbush Ct Suite 2, Johnson City, TN 37601. The listed phone number is (423) 952-0992.

What is Rodney Sullivan's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Rodney Sullivan was last updated on September 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.