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RICHARD C SULLIVAN PHD NPI 1386658086


NPI Information

NPI: 1386658086
Provider Name: RICHARD C SULLIVAN, PHD
Classification: Psychologist - 103TC2200X
Entity Type: Individual

Specialization: Clinical Child & Adolescent

PECOS Registration: Yes

Address:
460 W 34TH ST
NEW YORK, NY
ZIP 10001
Phone: (212) 273-6100
Get Directions

Richard C Sullivan, PHD is a clinical child and adolescent psychologist in New York, NY with 52 years of experience. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. Richard C Sullivan, PHD NPI is 1386658086. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

460 W 34TH ST
NEW YORK, NY
ZIP 10001-320
Phone: (212) 273-6100

The NPI 1386658086 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 7/28/2006 and was last updated on 7/8/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC2200XPsychologistClinical Child & Adolescent01220NEW JERSEYNo
2103TC2200XPsychologistClinical Child & Adolescent04548-1NEW YORKYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1R53623MEDICARE UPINNEW YORK
2V47222MEDICARE ID-TYPE UNSPECIFIEDNEW YORKCP

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: 4/28/2024

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