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GEORGE JOHN SULLIVAN III
NPI 1992384200
Psychologist - Rehabilitation in Riverhead, NY

Active since April 05, 2021
208 ROANOKE AVE, RIVERHEAD, NY 11901(631) 357-0173 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About George John Sullivan Iii NPPES

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

GEORGE JOHN SULLIVAN III (NPI 1992384200) is an individual rehabilitation provider in Riverhead, New York and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1992384200
Entity TypeIndividualMale
Primary Taxonomy103TR0400X
Provider Legal NameGEORGE JOHN SULLIVAN III
Location Address208 ROANOKE AVERiverhead, NY 11901-2706
Mailing Address25 Soundway DrRocky Point, NY 11778-9001 · (631) 741-4988
Phone(631) 357-0173
Sole ProprietorNo
Enumeration DateApril 5, 2021
NPPES CertifiedApril 5, 2021
✔ NPI 1992384200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · RehabilitationBehavioral Health & Social Service Providers
Taxonomy Code103TR0400X
Definition
A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and functional difficulties, and help people to overcome barriers to participation in life activities. Rehabilitation psychologists are involved in practice, research, and advocacy, with the broad goal of fostering independence and opportunity for people with disabilities.
208 ROANOKE AVE, Riverhead, NY 11901
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Other Identifiers 1

OtherK6043576401NY · Emblem Health

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.

ANGELA SERAFICO
Student in an Organized Health Care Education/Training Program
208 ROANOKE AVE
RIVERHEAD, NY 11901
Suffolk County (631) 998-1003
BRIANNE O'MALLEY
Counselor (Mental Health)
208 ROANOKE AVE
RIVERHEAD, NY 11901
Suffolk County (631) 255-3657
MS. ELIZABETH PAIGE SMITH LMSW
Social Worker
208 ROANOKE AVE
RIVERHEAD, NY 11901
Suffolk County (631) 369-0104
ISABELLA ROSE MONTESANTO
Counselor
208 ROANOKE AVE
RIVERHEAD, NY 11901
Suffolk County (631) 998-0025
PHOEBE BRENNER
Student in an Organized Health Care Education/Training Program
208 ROANOKE AVE
RIVERHEAD, NY 11901
Suffolk County (631) 591-7577
JULIA PERAGALLO
Student in an Organized Health Care Education/Training Program
208 ROANOKE AVE
RIVERHEAD, NY 11901
Suffolk County (631) 369-0104
ALEXANDRA TAYLOR POJE
Social Worker
208 ROANOKE AVE
RIVERHEAD, NY 11901
Suffolk County (631) 998-1003
LUCILLE TERESE VAUGHAN FPS
Community Health Worker
208 ROANOKE AVE
RIVERHEAD, NY 11901
Suffolk County (631) 772-3287

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 George Sullivan's NPI number?

The NPI number for George Sullivan is 1992384200. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Where is George Sullivan located?

George Sullivan practices at 208 Roanoke Ave, Riverhead, NY 11901. The listed phone number is (631) 357-0173.

What is George Sullivan's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Rehabilitation, with taxonomy code 103TR0400X.

When was this NPI record last updated?

The NPPES record for George Sullivan was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.