NPI Details
DR. Andre Jawann Sullivan, M.D. is a psychiatry psychiatry neurology in Tyndall Afb, FL with 27 years of experience. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. DR. Andre Jawann Sullivan, M.D. NPI is 1023162559. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduation Year:1999
The provider's business location address is:
325 MDG, 340 MAGNOLIA CIRCLE
TYNDALL AFB, FL
ZIP 32403
Phone: (703) 731-2566
The NPI 1023162559 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 1/22/2007 and was last updated on 7/25/2025.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 101YP2500X | Counselor | Professional | 41880 | TENNESSEE | No |
| 2 | 2084P0800X | Psychiatry & Neurology | Psychiatry | M-16066 | IDAHO | No |
| 3 | 2084P0800X | Psychiatry & Neurology | Psychiatry | R9446 | TEXAS | Yes |
