ITA O'SULLIVAN NP
NPI 1063505220
Registered Nurse - Psychiatric/Mental Health in Rye, NY

Active since October 02, 2006Opted out of Medicare · through May 5, 2027
16 SCHOOL ST STE C, RYE, NY 10580(646) 234-5502(914) 939-0970 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ita O'sullivan Np NPPES

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

ITA O'SULLIVAN NP (NPI 1063505220) is an individual psychiatric/mental health provider in Rye, New York, licensed in New York (F400205) and active in the NPI registry since October 2006. She has opted out of Medicare through May 5, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1063505220
Entity TypeIndividualFemale
Primary Taxonomy163WP0808X
Provider Legal NameITA O'SULLIVANCredential: NP
Location Address16 SCHOOL ST STE CRye, NY 10580-3090
Mailing Address27 Crescent AveRye, NY 10580
Fax(914) 939-0970
Sole ProprietorYes
Enumeration DateOctober 2, 2006
Last NPPES UpdateNovember 24, 2025
NPPES CertifiedNovember 24, 2025
NPI 1063505220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License Licensed in NY · F400205
16 SCHOOL ST STE C, Rye, NY 10580

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Ita O'sullivan Np has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 5, 2017 through May 5, 2027.

Opt-Out Effective DateMay 5, 2017
Opt-Out In Effect ThroughMay 5, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 2

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

Psychologist (Clinical)
16 SCHOOL ST STE C
RYE, NY 10580
Psychologist (Clinical)
16 SCHOOL ST STE C
RYE, NY 10580

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 Ita O'sullivan's NPI number?

The NPI number for Ita O'sullivan is 1063505220. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Ita O'sullivan located?

Ita O'sullivan practices at 16 School St Ste C, Rye, NY 10580. The listed phone number is (646) 234-5502.

What is Ita O'sullivan's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

Is Ita O'sullivan enrolled in Medicare?

No. Ita O'sullivan has opted out of Medicare through May 5, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Ita O'sullivan was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.