CHRISTOPHER THOMAS SULLIVAN – Psychiatry Physician, NPI 1184086456

CHRISTOPHER THOMAS SULLIVAN is a healthcare provider. based in Elgin, Illinois. specializing in PSYCHIATRY. They hold a License No. 036.151666 (IL). The NPI Number for CHRISTOPHER THOMAS SULLIVAN is 1184086456

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTOPHER THOMAS SULLIVAN
NPI
1184086456
Phone
(847) 742-1040
Address
750 S STATE ST
Enumeration Date
24 March 2016
Last Update Date
7 October 2020

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
8476950484
Graduation Year
2016 (10 years ago)
PAC ID
6507151057
Group Practice PAC ID
0941252423
Professional Enrollment ID
I20250709002358
Address ID
IL601236603EL1845XPLXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,367 PSYCHIATRY in IL

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Provider Addresses for CHRISTOPHER THOMAS SULLIVAN

  • Elgin Mental Health Center, 750, South State Street, Elgin, Kane County, Illinois, 60123, United States

    GOLDMAN BUILDING, BRUNK UNIT

    ELGIN, IL 601237612

    Phone: (847) 742-1040

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250709002358IPsychiatryILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60123)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941252423View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Nurse PractitionerIL
Clinical Social WorkerIL
Mental Health CounselorIL
Clinical Social WorkerFL
Mental Health CounselorIL

Reviews

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Frequently asked questions

Is there an official ID for CHRISTOPHER THOMAS SULLIVAN in U.S. healthcare records?
The official identifier for CHRISTOPHER THOMAS SULLIVAN is NPI 1184086456.
Is CHRISTOPHER THOMAS SULLIVAN still an active registrant?
CHRISTOPHER THOMAS SULLIVAN carries an active NPI according to the public dataset.
What clinical focus is listed for CHRISTOPHER THOMAS SULLIVAN?
At a glance, CHRISTOPHER THOMAS SULLIVAN is tied to Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for CHRISTOPHER THOMAS SULLIVAN?
Travel planning: use Elgin, Illinois as the reference point for CHRISTOPHER THOMAS SULLIVAN, then confirm.
Can I trust this NPI listing for CHRISTOPHER THOMAS SULLIVAN?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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