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

Dr. Randall Gene Sullivan, MD

Individual provider Psychiatry Physician · NPI 1114942653

Dr. Randall Gene Sullivan, MD is a Psychiatry in Omaha, Nebraska. Qualified in 1983, 43 years ago. Practices with Mainehealth, a 2,615-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Maine, Nebraska and New Mexico.

Years since qualifying
43
Licensed in
ME, NE, NM
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Emile @ 42nd St
Omaha, NE 68198-5575
Phone: (402) 552-6007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 25 June St, Sanford, ME 04073-2621 — (207) 490-7000
  • 555 S Schwartz Ave, Farmington, NM 87401-5955 — (505) 609-6680

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 17415 (NE)
Psychiatry Physician Taxonomy 2084P0800X · Licence MD2018-0063 (NM)
Psychiatry Physician Taxonomy 2084P0800X · Licence MD29920 (ME)

Record details

NPI number1114942653
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 13, 2006
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Group practice Mainehealth — 2615 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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