OrganizationActive
Sullivan Psychiatric Group, PLLC
NPI 1366879025 · Child & Adolescent Psychiatry Physician · Louisville, KY
Provider details
- NPI number
- 1366879025
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- John Sullivan, Owner
Practice location
4011 Gardiner Point Dr Ste 101
Louisville, KY 40213-1988
Phone: (502) 451-5121
Fax: (502) 451-5125
Mailing address
4011 Gardiner Point Dr
Louisville, KY 40213-1988
Registry dates
- Enumerated
- 2013-09-26
- Last updated
- 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.