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AMANDA ROSE SULLIVAN PMHNP-BC
NPI 1063968709
Nurse Practitioner - Psychiatric/Mental Health in Concord, MA

Active since September 01, 2016
86 BAKER AVE EXTENSION, SUITE 100, CONCORD, MA 01742(978) 369-1113 Get Directions Write a Review

NPPES record last updated: September 1, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amanda Rose Sullivan Pmhnp-bc NPPES

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

AMANDA ROSE SULLIVAN PMHNP-BC (NPI 1063968709) is an individual psychiatric/mental health provider in Concord, Massachusetts, licensed in Massachusetts (RN2262691) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1063968709
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAMANDA ROSE SULLIVANCredential: PMHNP-BC
Location Address86 BAKER AVE EXTENSION, SUITE 100Concord, MA 01742
Mailing Address86 Baker Ave Extension, Suite 100Concord, MA 01742
Phone(978) 369-1113
Sole ProprietorNo
Enumeration DateSeptember 1, 2016
✔ NPI 1063968709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MA · RN2262691
86 BAKER AVE EXTENSION, Concord, MA 01742
Open in Google Maps ↗

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 ›

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.

CHARLES A GARABEDIAN M.D.
Pediatrics
86 BAKER AVE EXTENSION, CONCORD HILLSIDE MEDICAL ASSOCIATES
CONCORD, MA 01742
Middlesex County (978) 287-9400
DAN S TILLES M.D.
Internal Medicine
86 BAKER AVE EXTENSION
CONCORD, MA 01742
Middlesex County (978) 287-9300

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 Amanda Sullivan's NPI number?

The NPI number for Amanda Sullivan is 1063968709. It was assigned to this individual provider in the NPPES registry on September 1, 2016.

Where is Amanda Sullivan located?

Amanda Sullivan practices at 86 Baker Ave Extension Suite 100, Concord, MA 01742. The listed phone number is (978) 369-1113.

What is Amanda Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Amanda Sullivan accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Amanda 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 Amanda Sullivan was last updated on September 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.