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DR. BRYCE FREDERICK SULLIVAN PH.D.
NPI 1093886236
Psychologist - Clinical in Edwardsville, IL

Active since November 10, 2006
910 N MAIN ST, EDWARDSVILLE, IL 62025(618) 659-8787 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Bryce Frederick Sullivan Ph.d. NPPES

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

DR. BRYCE FREDERICK SULLIVAN PH.D. (NPI 1093886236) is an individual clinical provider in Edwardsville, Illinois, licensed in Missouri (2000159809) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1093886236
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. BRYCE FREDERICK SULLIVANCredential: PH.D.
Location Address910 N MAIN STEdwardsville, IL 62025-1116
Mailing Address516 N Kansas StEdwardsville, IL 62025-1137 · (618) 659-8787
Phone(618) 659-8787
Sole ProprietorNo
Enumeration DateNovember 10, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1093886236 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 MO · 2000159809
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.
910 N MAIN ST, Edwardsville, IL 62025
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Other Identifiers 2

Other06032019IL · Bcbs Ppo
Other691275Healthlink Hmo & Ppo

Other Providers at the Same Location NPPES 3

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

JESSICA PAIGE SUMMERS SLP
Speech-Language Pathologist
910 N MAIN ST
EDWARDSVILLE, IL 62025
Madison County (618) 581-8304
ELLEN SNYDERS
Speech-Language Pathologist
910 N MAIN ST
EDWARDSVILLE, IL 62025
Madison County (618) 581-8304
DR. JEREMY DEAN JEWELL PH.D.
Psychologist
910 N MAIN ST
EDWARDSVILLE, IL 62025
Madison County (618) 659-8787

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 Bryce Sullivan's NPI number?

The NPI number for Bryce Sullivan is 1093886236. It was assigned to this individual provider in the NPPES registry on November 10, 2006.

Where is Bryce Sullivan located?

Bryce Sullivan practices at 910 N Main St, Edwardsville, IL 62025. The listed phone number is (618) 659-8787.

What is Bryce Sullivan's specialty?

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

When was this NPI record last updated?

The NPPES record for Bryce Sullivan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.