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

Mr. John Edwin Sullivan III

Individual provider Counselor · NPI 1063636819

Mr. John Edwin Sullivan III is a Counselor in San Francisco, California. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
3

Practice location Address checks out

1801 Vicente St
San Francisco, CA 94116-2923
Phone: (916) 613-1246
Show map & directions

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

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X
Counselor Taxonomy 101Y00000X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1063636819
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 12, 2007
Last updated in NPPESMay 19, 2025
Certification dateMay 19, 2025

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