Tyesha Sullivan, LMFT
NPI 1871246462 · Marriage & Family Therapist · Stockton, CA
Enrolled with Medicare as Practitioner - Marriage and Family Therapist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tyesha Sullivan, LMFT is a Marriage & Family Therapist provider in Stockton, CA (NPI 1871246462).
Provider details
- NPI number
- 1871246462
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Credential
- LMFT
- Sex
- Female
- Sole proprietor
- No
- License
- 123866 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 4447 Abruzzi CirStockton, CA 95206-6097Phone: (209) 818-4711
Registry dates
- Enumerated
- 2022-02-02
- Last updated
- 2023-08-08
- Certified
- 2023-08-08
Frequently asked questions
- What is Tyesha Sullivan's NPI number?
- Tyesha Sullivan's National Provider Identifier (NPI) is 1871246462, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyesha Sullivan's specialty?
- Tyesha Sullivan is listed in the NPPES registry with a primary specialty of Marriage & Family Therapist (Behavioral Health & Social Service Providers).
- Where is Tyesha Sullivan located?
- Tyesha Sullivan's practice location on file with NPPES is 540 N California St, Stockton, CA 95202-2117.
- What is Tyesha Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Tyesha Sullivan is (209) 464-4524.
- Does Tyesha Sullivan accept Medicare?
- Tyesha Sullivan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tyesha Sullivan's NPI active?
- Yes — Tyesha Sullivan's NPI (1871246462) is active in the NPPES registry as of the last update on 2023-08-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.