DR. JILLIAN E SULLIVAN PH.D. HSPP NPI 1114357506

NPI Information

  • NPI: 1114357506
  • Provider Name: DR. JILLIAN E SULLIVAN, PH.D., HSPP
  • Classification: Psychologist - 103TH0004X
  • Specialization: Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3000 S STATE ROAD 135
    SUITE 230
    GREENWOOD, IN
    ZIP 46143
  • Phone: (317) 535-0728

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NPI Details

DR. Jillian E Sullivan, PH.D., HSPP is a health psychologist in Greenwood, IN with 14 years of experience. The provider is a psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinical health psychology sees health as the confluence of psychological, social, cultural, and biological factors and applies this understanding to professional activities including:

  • DR. Jillian E Sullivan, PH.D., HSPP NPI is 1114357506. The provider is registered as an individual entity type.

    The NPPES NPI record indicates the provider is a female.

    Education
    Medical School: MEMPHIS HOSPITAL MEDICAL COLLEGE
    Graduation Year:2012

    The provider's business location address is:

    3000 S STATE ROAD 135
    SUITE 230
    GREENWOOD, IN
    ZIP 46143-607
    Phone: (317) 535-0728

    The NPI 1114357506 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

    The enumeration date for this NPI number is 11/20/2013 and was last updated on 11/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinical20042704AINDIANANo
2103TC1900XPsychologistCounseling20042704AINDIANANo
3103TH0004XPsychologistHealth20042704AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000000850729OTHERINDIANAANTHEM BCBS
2P01569147OTHERINDIANARR MEDICARE
3P01569147OTHERINDIANARAILROAD PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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