{"npi":"1851531933","type":"NPI-2","status":"active","name":{"display":"Sullivan MD PLLC","other":[],"organization_name":"SULLIVAN MD PLLC","authorised_official":"William Sullivan"},"specialty":{"primary_taxonomy":"261QM0801X","primary_taxonomy_description":"Mental Health Clinic/Center (Including Community Mental Health Center)","slug":"mental-health-clinic-center-including-community-mental-health-center","schema_org_specialty":null,"all":[{"code":"261QM0801X","description":"Mental Health Clinic/Center (Including Community Mental Health Center)","primary":true,"state":"AZ","license":"22176"}]},"addresses":[{"purpose":"LOCATION","street_1":"5100 E HWY 90","city":"SIERRA VISTA","state":"AZ","postal_code":"856352443","country_code":"US","street_2":"SUITE B","phone":"5204179727","fax":"5204179733"},{"purpose":"MAILING","street_1":"5100 E. HWY. 90","city":"SIERRA VISTA","state":"AZ","postal_code":"85635","country_code":"US","street_2":"SUITE B","phone":"5204179727","fax":"5204179733"}],"license":{"state":"AZ","number":"22176"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20090316000131","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"AZ","pac_id":"0042377269"}]},"enumeration_date":"2009-03-02","last_updated":"2009-03-25","_meta":{"source":"NPPES","snapshot_date":"2009-03-25","doc_url":"https://findmynpi.com/api"}}