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

Charles Brian Sullivan, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1447092671

Charles Brian Sullivan, PMHNP is a Psychiatric/Mental Health Nurse Practitioner in Rochester, New York. Licensed in New York. Registered with an NPI since 2024.

Licensed in
NY
In the registry since
2024
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

130 S Plymouth Ave
Rochester, NY 14614-2209
Phone: (585) 753-4183
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence F405913-01 (NY)

Record details

NPI number1447092671
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedJune 10, 2024
Last updated in NPPESJuly 9, 2024
Certification dateJuly 9, 2024

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