IndividualActive
Rodney Sullivan, PHD
NPI 1790877561 · Clinical Neuropsychologist · Johnson City, TN
Provider details
- NPI number
- 1790877561
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- License
- P0000001569 (TN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2 Redbush Ct
Suite 2
Johnson City, TN 37601-4340
Phone: (423) 952-0992
Street-level locationGet directions
Mailing address
2 Redbush Ct
Johnson City, TN 37601-4340
Registry dates
- Enumerated
- 2006-09-29
- Last updated
- 2012-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.