MR. DESMOND JAMES SULLIVAN CASAC NPI 1578711644

NPI Information

  • NPI: 1578711644
  • Provider Name: MR. DESMOND JAMES SULLIVAN, CASAC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 1310 ROCKAWAY PKWY
    BROOKLYN, NY
    ZIP 11236
  • Phone: (718) 257-3880

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NPI Details

MR. Desmond James Sullivan, CASAC is an addiction (substance use disorder) counselor in Brooklyn, NY. MR. Desmond James Sullivan, CASAC NPI is 1578711644. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1310 ROCKAWAY PKWY
BROOKLYN, NY
ZIP 11236-339
Phone: (718) 257-3880
Fax: (718) 257-3580

The enumeration date for this NPI number is 9/3/2008 and was last updated on 9/3/2008.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)12582NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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