Tanita Shanta Sullivan

• Residential Treatment Facility, Intellectual and/or Developmental Disabilities Primary
  A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
  taxonomy 320600000X
• Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
  A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
  taxonomy 320900000X
• Residential Treatment Facility, Physical Disabilities
  A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
  taxonomy 320700000X
• Substance Abuse Rehabilitation Facility
  A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
  taxonomy 324500000X

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.