Sullivan Psychiatric Group, PLLC
NPI 1366879025 · Child & Adolescent Psychiatry Physician · Louisville, KY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sullivan Psychiatric Group, PLLC is a Child & Adolescent Psychiatry Physician organization in Louisville, KY (NPI 1366879025).
Provider details
- NPI number
- 1366879025
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Sullivan, Owner(502) 451-5121
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-09-26
- Last updated
- 2024-11-06
- Certified
- 2024-11-06
Frequently asked questions
- What is Sullivan Psychiatric Group, PLLC's NPI number?
- Sullivan Psychiatric Group, PLLC's National Provider Identifier (NPI) is 1366879025, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sullivan Psychiatric Group, PLLC?
- Sullivan Psychiatric Group, PLLC is classified in the NPPES registry as Child & Adolescent Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Sullivan Psychiatric Group, PLLC located?
- Sullivan Psychiatric Group, PLLC's practice location on file with NPPES is 4011 Gardiner Point Dr Ste 101, Louisville, KY 40213-1988.
- What is Sullivan Psychiatric Group, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Sullivan Psychiatric Group, PLLC is (502) 451-5121.
- Does Sullivan Psychiatric Group, PLLC accept Medicare?
- Sullivan Psychiatric Group, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sullivan Psychiatric Group, PLLC?
- The authorized official listed on Sullivan Psychiatric Group, PLLC's NPPES record is John Sullivan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sullivan Psychiatric Group, PLLC's NPI active?
- Yes — Sullivan Psychiatric Group, PLLC's NPI (1366879025) is active in the NPPES registry as of the last update on 2024-11-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.