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

Gwendolyn Sullivan

Individual provider Mental Health Counselor · NPI 1730716754

Gwendolyn Sullivan is a Mental Health Counselor in Yorktown Heights, New York. Qualified in 2015, 11 years ago. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2020
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Practice location Address checks out

1940 Commerce St Ste 300
Yorktown Heights, NY 10598-4448
Phone: (914) 245-0437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 009625 (NY)

Record details

NPI number1730716754
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 27, 2020
Last updated in NPPESMarch 27, 2020
Certification dateMarch 27, 2020

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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