Individual provider · Type 1 NPI

Robert Joseph Sullivan, LMHC, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · New York, NY

NPI number 1215426408 Active

Practice location

315 Madison Ave Rm 2000
New York, NY 10017-5416

Mailing address

112 Muller Ave
Staten Island, NY 10314-2037

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X408810 (NY)
Mental Health Counselor 101YM0800X010509 (NY)
Registered Nurse 163W00000X837821 (NY)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1215426408

Robert Joseph Sullivan, LMHC, PMHNP-BC's National Provider Identifier is 1215426408, issued on May 3, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in New York, NY. The record was last updated on Jul 21, 2026.