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

Julie Marie Sullivan, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1093468050

Julie Marie Sullivan, PMHNP is a Nurse Practitioner in Eden, New York. Qualified in 2021, 5 years ago. Practices with Brightside Medical PC, a 62-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2022
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

See every abbreviation used in this directory →

Practice location Address checks out

8949 Hammond Dr
Eden, NY 14057-9561
Phone: (716) 310-4403
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence F403933-01 (NY)

Record details

NPI number1093468050
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedJanuary 31, 2022
Last updated in NPPESJanuary 31, 2022
Certification dateJanuary 31, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Brightside Medical Pc — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services