Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sullivan Psychiatric Group, PLLC

Organization Psychiatry Physician · NPI 1366879025

Sullivan Psychiatric Group, PLLC is a Psychiatry Physician in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2013.

Licensed in
KY
In the registry since
2013
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4011 Gardiner Point Dr Ste 101
Louisville, KY 40213-1988
Phone: (502) 451-5121
Fax: (502) 451-5125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 21704 (KY)
Psychiatry Physician Taxonomy 2084P0800X

Record details

NPI number1366879025
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Sullivan — Owner · (502) 451-5121
NPI enumeratedSeptember 26, 2013
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024
Mailing address4011 Gardiner Point Dr, Suite 101, Louisville, KY 40213-1988

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