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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KELLY A SULLIVAN
NPI 1821924820
Counselor - Addiction (Substance Use Disorder) in Pasadena, CA

Active since June 18, 2026
1680 N FAIR OAKS AVE, PASADENA, CA 91103(626) 798-0884(626) 798-6970 Get Directions Write a Review

NPPES record added: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly A Sullivan NPPES

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

KELLY A SULLIVAN (NPI 1821924820) is an individual addiction (substance use disorder) provider in Pasadena, California, licensed in California (SUDRC) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1821924820
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKELLY A SULLIVAN
Location Address1680 N FAIR OAKS AVEPasadena, CA 91103-1642
Mailing Address1680 N Fair Oaks AvePasadena, CA 91103-1642 · (626) 798-0884
Phone(626) 798-0884
Fax(626) 798-6970
Sole ProprietorNo
Enumeration DateJune 18, 2026
NPPES CertifiedJune 18, 2026
✔ NPI 1821924820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · SUDRC
1680 N FAIR OAKS AVE, Pasadena, CA 91103
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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.

SEAN COLUCCI
Counselor (Addiction (Substance Use Disorder))
1680 N FAIR OAKS AVE
PASADENA, CA 91103
Los Angeles County (626) 798-0884
ROBERTO CHAVEZ
Counselor (Addiction (Substance Use Disorder))
1680 N FAIR OAKS AVE
PASADENA, CA 91103
Los Angeles County (626) 517-7954
GREGORY LAY
Counselor (Addiction (Substance Use Disorder))
1680 N FAIR OAKS AVE
PASADENA, CA 91103
Los Angeles County (626) 798-0884
JOSE CASTRO
Counselor (Addiction (Substance Use Disorder))
1680 N FAIR OAKS AVE
PASADENA, CA 91103
Los Angeles County (626) 798-0884
ELENA YVETTE RUIZ
Counselor (Addiction (Substance Use Disorder))
1680 N FAIR OAKS AVE
PASADENA, CA 91103
Los Angeles County (626) 798-0884
CAREY GUNN
Counselor (Addiction (Substance Use Disorder))
1680 N FAIR OAKS AVE
PASADENA, CA 91103
Los Angeles County (626) 798-0884
DENVER CUDE
Counselor (Addiction (Substance Use Disorder))
1680 N FAIR OAKS AVE
PASADENA, CA 91103
Los Angeles County (626) 798-0884
LADAN HARANDI
Counselor (Addiction (Substance Use Disorder))
1680 N FAIR OAKS AVE
PASADENA, CA 91103
Los Angeles County (626) 798-0884

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 Kelly Sullivan's NPI number?

The NPI number for Kelly Sullivan is 1821924820. It was assigned to this individual provider in the NPPES registry on June 18, 2026.

Where is Kelly Sullivan located?

Kelly Sullivan practices at 1680 N Fair Oaks Ave, Pasadena, CA 91103. The listed phone number is (626) 798-0884.

What is Kelly Sullivan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kelly Sullivan was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.