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DR. JEREMY RAY SULLIVAN PSY.D
NPI 1043441306
Psychologist - Clinical in North Adams, MA

Active since August 05, 2009PECOS Enrolled
77 HOSPITAL AVE STE 214, NORTH ADAMS, MA 01247(413) 398-5064(413) 398-5496 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeremy Ray Sullivan Psy.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEREMY RAY SULLIVAN PSY.D (NPI 1043441306) is an individual clinical provider in North Adams, Massachusetts, licensed in Vermont (04800000878) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043441306
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JEREMY RAY SULLIVANCredential: PSY.D
Location Address77 HOSPITAL AVE STE 214North Adams, MA 01247-2538
Mailing Address59 Maple StNorth Adams, MA 01247-2828 · (413) 347-6679
Phone(413) 398-5064
Fax(413) 398-5496
Sole ProprietorYes
Enumeration DateAugust 5, 2009
Last NPPES UpdateMay 5, 2025
NPPES CertifiedMay 5, 2025
✔ NPI 1043441306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in VT · 04800000878
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
77 HOSPITAL AVE STE 214, North Adams, MA 01247
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeremy Ray Sullivan Psy.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01247 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$177.36 typical visit price
range $58.86 – $177.36
Typical copayment $44.34 (range $14.71 – $44.34)
Most-billed visit code 99205
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAMSTOWN BEHAVIORAL HEALTH ASSOCIATES
Psychologist
77 HOSPITAL AVE STE 214
NORTH ADAMS, MA 01247
Berkshire County (413) 398-5064
DALLAS DEBLOIS MS, OTR/L
Occupational Therapist
77 HOSPITAL AVE STE 214
NORTH ADAMS, MA 01247
Berkshire County (413) 398-5064
AMBER ROSE ANTOINETTE ARNOLD CCC-SLP
Speech-Language Pathologist
77 HOSPITAL AVE STE 214
NORTH ADAMS, MA 01247
Berkshire County (413) 398-5064
WILLIAMSTOWN BEHAVIORAL HEALTH ASSOCIATES
Speech-Language Pathologist
77 HOSPITAL AVE STE 214
NORTH ADAMS, MA 01247
Berkshire County (413) 398-5064
REBECCA GAMACHE
Counselor (Mental Health)
77 HOSPITAL AVE STE 214
NORTH ADAMS, MA 01247
Berkshire County (413) 398-5064

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Sullivan's NPI number?

The NPI number for Jeremy Sullivan is 1043441306. It was assigned to this individual provider in the NPPES registry on August 5, 2009.

Where is Jeremy Sullivan located?

Jeremy Sullivan practices at 77 Hospital Ave Ste 214, North Adams, MA 01247. The listed phone number is (413) 398-5064.

What is Jeremy Sullivan's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jeremy Sullivan enrolled in Medicare?

Yes. Jeremy Sullivan is registered in the Medicare PECOS enrollment system.

What insurance does Jeremy Sullivan accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Jeremy Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeremy Sullivan was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.