SearchCalifornia101YS0200X

Robert Sullivan

NPI 1346108727 · on the registry since 2026 · sole proprietor

Practice

Address
1735 Lake Tahoe Blvd
South Lake Tahoe, CA 96150
Phone
(530) 541-4111
Organisation at this address
Tahoe Youth & Family Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
101YS0200X
101YS0200X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-01-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California