SHANNON SULLIVAN RN
NPI 1922574920
Psychologist - Prescribing (Medical) in Tracy, CA
NPI Status: Active since October 17, 2018
Contact Information
20 E EATON AVE
TRACY, CA
ZIP 95376
Phone: (209) 553-0737
- Individual
- Female
- Psychologist
- Prescribing (Medical)
About SHANNON SULLIVAN
This page provides the complete NPI Profile along with additional information for Shannon Sullivan, a provider established in Tracy, California with a medical specialization in Psychologist, focusing in prescribing (medical) . The healthcare provider is registered in the NPI registry with number 1922574920 assigned on October 2018. The practitioner's primary taxonomy code is 103TP0016X. The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1922574920
- Provider Name
- SHANNON SULLIVAN RN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 20 E EATON AVE TRACY, CA 95376
- Location Phone
- (209) 553-0737
- Mailing Address
- 20 E EATON AVE TRACY, CA 95376
- Mailing Phone
- (209) 553-0737
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-17-2018
- Last Update Date
- 05-03-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Prescribing (Medical)
- Taxonomy Code
- 103TP0016X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 163W00000X | Nursing Service Providers | Registered Nurse | 789456 (IA) |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1922574920, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 70 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922574920, enumerated as an "individual" on October 17, 2018.
The provider is located at 20 E EATON AVE TRACY, CA 95376 and the phone number is (209) 553-0737.
Psychologist with taxonomy code 103TP0016X and a focus in Prescribing (Medical).
