KELLY ANN SULLIVAN PSYD
NPI 1205625795
Psychologist - Clinical in Concord, NH

Active since May 02, 2025PECOS EnrolledAccepts Medicare Assignment
70 COMMERCIAL ST STE 200, CONCORD, NH 03301(603) 883-0005(603) 883-0007 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Ann Sullivan Psyd NPPES

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

KELLY ANN SULLIVAN PSYD (NPI 1205625795) is an individual clinical provider in Concord, New Hampshire, licensed in New Hampshire (7156) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Manchester, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1205625795
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKELLY ANN SULLIVANCredential: PSYD
Location Address70 COMMERCIAL ST STE 200Concord, NH 03301-5094
Mailing Address165 Village Circle Way Apt 16Manchester, NH 03102-7114 · (617) 378-5783
Fax(603) 883-0007
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMay 2, 2025
Last NPPES UpdateFebruary 11, 2026
NPPES CertifiedFebruary 11, 2026
NPI 1205625795 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 NH · 7156
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.

70 COMMERCIAL ST STE 200, Concord, NH 03301

Secondary Practice Location 1

Location 1165 Village Circle Way Apt 16Manchester, NH 03102-7114 · Phone (617) 378-5783

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelly Ann Sullivan Psyd 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 ID9830672930
PECOS Enrollment IDI20260317000272
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 03301 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
$174.26 typical visit price
range $57.75 – $174.26
Typical copayment $43.56 (range $14.43 – $43.56)
Most-billed visit code 99205
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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 20

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

Counselor (Mental Health)
70 COMMERCIAL ST STE 200
CONCORD, NH 03301
Marriage & Family Therapist
70 COMMERCIAL ST STE 200
CONCORD, NH 03301
Counselor (Mental Health)
70 COMMERCIAL ST STE 200
CONCORD, NH 03301
Social Worker (Clinical)
70 COMMERCIAL ST STE 200
CONCORD, NH 03301
Nurse Practitioner (Psychiatric/Mental Health)
70 COMMERCIAL ST STE 200
CONCORD, NH 03301
Counselor (Mental Health)
70 COMMERCIAL ST STE 200
CONCORD, NH 03301
Social Worker (Clinical)
70 COMMERCIAL ST STE 200
CONCORD, NH 03301
Counselor (Mental Health)
70 COMMERCIAL ST STE 200
CONCORD, NH 03301

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 Kelly Sullivan's NPI number?

The NPI number for Kelly Sullivan is 1205625795. It was assigned to this individual provider in the NPPES registry on May 2, 2025.

Where is Kelly Sullivan located?

Kelly Sullivan practices at 70 Commercial St Ste 200, Concord, NH 03301. The listed phone number is (603) 883-0005.

What is Kelly Sullivan's specialty?

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

Is Kelly Sullivan enrolled in Medicare?

Yes. Kelly Sullivan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kelly Sullivan was last updated on February 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.