JORDAN MICHAEL SULLIVAN
NPI 1083199434
Day Training/Habilitation Specialist in Roseville, CA
NPI Status: Active since October 02, 2018
Contact Information
1520 EUREKA RD STE 102
ROSEVILLE, CA
ZIP 95661
Phone: (916) 759-1168
- Individual
- Male
- Day Training/Habilitation Specialist
About JORDAN SULLIVAN
This page provides the complete NPI Profile along with additional information for Jordan Sullivan, a provider established in Roseville, California with a medical specialization in Day Training/habilitation Specialist. The healthcare provider is registered in the NPI registry with number 1083199434 assigned on October 2018. The practitioner's primary taxonomy code is 373H00000X. The provider is registered as an individual and his NPI record was last updated April 2025.
- NPI
- 1083199434
- Provider Name
- JORDAN MICHAEL SULLIVAN
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1520 EUREKA RD STE 102 ROSEVILLE, CA 95661
- Location Phone
- (916) 759-1168
- Mailing Address
- 18225 HALE AVE STE 200 MORGAN HILL, CA 95037
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-02-2018
- Last Update Date
- 04-23-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Day Training/Habilitation Specialist
- Taxonomy Code
- 373H00000X
- Type
- Nursing Service Related Providers
- Taxonomy Description
- Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | |
| 3 | 106S00000X | Behavioral Health & Social Service Providers | Behavior Technician | |
| 4 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | |
| 5 | 172V00000X | Other Service Providers | Community Health Worker | |
| 6 | 225400000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Rehabilitation Practitioner |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 8 | 3 | 1 | 9 | 9 | 4 | 3 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 16 | 3 | 2 | 9 | 18 | 4 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 6 + 3 + 2 + 9 + 1 + 8 + 4 + 6 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1083199434 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 18 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1427833946 | SAMANTHA PECSI-REID Individual | Community Health Worker | 1520 EUREKA RD STE 102 ROSEVILLE, CA 95661 (916) 751-0937 |
| 1740060573 | ISABELLA ANNE CUSANO Individual | Community Health Worker | 1520 EUREKA RD STE 102 ROSEVILLE, CA 95661 (209) 320-7694 |
| 1811557861 | DANIELLE-MAY RAYALA PARK Individual | Social Worker | 1520 EUREKA RD STE 102 ROSEVILLE, CA 95661 (530) 267-1700 |
| 1902097405 | MRS. NYLENE FINLAYSON- RODRIGUEZ ASW Individual | Social Worker | 1520 EUREKA RD STE 102 ROSEVILLE, CA 95661 (916) 751-0937 |
| 1972059434 | LISA MARIE KINNEBREW Individual | Marriage & Family Therapist | 1520 EUREKA RD STE 102 ROSEVILLE, CA 95661 (530) 893-0758 |
| 1659057073 | VICTOR COMMUNITY SUPPORT SERVICES, INC. Organization | Community/Behavioral Health | 1520 EUREKA RD STE 102 ROSEVILLE, CA 95661 (530) 648-6908 |
| 1205604253 | CARLOS FERNANDO ROMERO Individual | Counselor (Mental Health) | 1520 EUREKA RD STE 102 ROSEVILLE, CA 95661 (800) 465-3203 |
| 1770346389 | JORDAN ASHLEY THOMAS Individual | Student in an Organized Health Care Education/Training Program | 1520 EUREKA RD STE 102 ROSEVILLE, CA 95661 (916) 759-1168 |
| 1801620265 | ABIGAIL ROSE ROTHSCHILD Individual | Social Worker (Clinical) | 1520 EUREKA RD STE 102 ROSEVILLE, CA 95661 (916) 751-0104 |
| 1265258180 | TAMMY HAUAN Individual | Community Health Worker | 1520 EUREKA RD STE 102 ROSEVILLE, CA 95661 (916) 759-1168 |
| 1235628777 | GUDDI RAMSARAN PSYD Individual | Health Educator | 1520 EUREKA RD STE 102 ROSEVILLE, CA 95661 (916) 751-0154 |
| 1275377624 | ARIELLA SANCHEZ Individual | Day Training/Habilitation Specialist | 1520 EUREKA RD STE 102 ROSEVILLE, CA 95661 (916) 759-1168 |
| 1316753270 | SERGEY SEMENOV Individual | Day Training/Habilitation Specialist | 1520 EUREKA RD STE 102 ROSEVILLE, CA 95661 (916) 532-1116 |
| 1619373677 | MR. DARRELL CRAIG ALDER II Individual | Day Training/Habilitation Specialist | 1520 EUREKA RD STE 102 ROSEVILLE, CA 95661 (916) 759-3870 |
| 1689018566 | KIRK DAVID HOUSTON Individual | Day Training/Habilitation Specialist | 1520 EUREKA RD STE 102 ROSEVILLE, CA 95661 (916) 759-1168 |
| 1699375634 | MR. FRANCISCO CORRAL Individual | Day Training/Habilitation Specialist | 1520 EUREKA RD STE 102 ROSEVILLE, CA 95661 (909) 284-7350 |
| 1730304098 | MR. CLINTON BRENT LUGAR MHRS Individual | Day Training/Habilitation Specialist | 1520 EUREKA RD STE 102 ROSEVILLE, CA 95661 (916) 759-1168 |
| 1881323244 | AUDREY JORDAN RODRIGUEZ Individual | Day Training/Habilitation Specialist | 1520 EUREKA RD STE 102 ROSEVILLE, CA 95661 (916) 759-1168 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083199434, enumerated in the NPI registry as an "individual" on October 02, 2018
The provider is located at 1520 Eureka Rd Ste 102 Roseville, Ca 95661 and the phone number is (916) 759-1168
The provider's speciality is Day Training/Habilitation Specialist with taxonomy code 373H00000X
This NPI record was last updated on October 02, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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