Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ERIN SULLIVAN-BACA PHD
NPI 1174103758
Clinical Neuropsychologist in Plano, TX

Q: What is Erin Sullivan-baca's NPI number?

The NPI number for Erin Sullivan-baca is 1174103758. It was assigned to this individual provider in the NPPES registry on April 8, 2021.

Q: What is Erin Sullivan-baca's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Active since April 08, 2021PECOS Enrolled

4601 OLD SHEPARD PL STE 201, PLANO, TX 75093(888) 606-0086(469) 331-7096 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 2, 2026, Apr 8, 2021 (2 updates tracked since 2021).

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About Dr. Erin Sullivan-baca Phd NPPES

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

DR. ERIN SULLIVAN-BACA PHD (NPI 1174103758) is an individual clinical neuropsychologist in Plano, Texas, licensed in Texas (38638) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1174103758

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameDR. ERIN SULLIVAN-BACACredential: PHD

Location Address4601 OLD SHEPARD PL STE 201Plano, TX 75093-5269

Mailing Address112 Magnolia Estates DrLeague City, TX 77573-4613 · (888) 606-0086 · Fax (346) 223-0296

Phone(888) 606-0086

Fax(469) 331-7096

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateApril 8, 2021

Last NPPES UpdateOctober 20, 20262 updates tracked since enumeration

NPPES CertifiedOctober 20, 2026

✔ NPI 1174103758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in TX · 38638

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologistTaxonomy 103T00000X · License 38638 (TX)

4601 OLD SHEPARD PL STE 201, Plano, TX 75093

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Erin Sullivan-baca Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062816663

PECOS Enrollment IDI20210804001069

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.

Medicare Billing Reassignment

Medicare enrollment records show Erin Sullivan-baca reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Neurocognitive Specialty Group, PLLC

262 mi

Clinical Neuropsychologist

112 MAGNOLIA ESTATES DR
League City, TX 77573

Reassigned Medicare billing, Texas enrollment
10 clinicians in this Medicare group

NPI 1346700275 (888) 606-0086

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of psychological or neuropsychological test by technician, each additional 30 minutes 96139

This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.

168 services21 patients

Evaluation of neuropsychological test, each additional hour 96133

This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.

117 services25 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

25 services25 patients

Evaluation of neuropsychological test, first hour 96132

An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.

25 services25 patients

Administration of psychological or neuropsychological test by technician, first 30 minutes 96138

This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.

21 services21 patients

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.

DR. GAVIN DEREK SANDERS PHD

Psychologist (Clinical)