ANTHONY MICHAEL SULLIVAN PSYD
NPI 1245362615
Psychologist - Clinical in Canon City, CO

Q: What is Anthony Sullivan's NPI number?

The NPI number for Anthony Sullivan is 1245362615. It was assigned to this individual provider in the NPPES registry on March 12, 2007.

Q: What is Anthony Sullivan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Anthony Sullivan was last updated on July 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since March 12, 2007PECOS EnrolledAccepts Medicare Assignment

3225 INDEPENDENCE RD, CANON CITY, CO 81212(719) 275-2351(719) 269-9386 Get Directions Write a Review

NPPES record last updated: July 29, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Anthony Michael Sullivan Psyd NPPES

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

ANTHONY MICHAEL SULLIVAN PSYD (NPI 1245362615) is an individual clinical provider in Canon City, Colorado, licensed in Colorado (3490) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1245362615

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameANTHONY MICHAEL SULLIVANCredential: PSYD

Location Address3225 INDEPENDENCE RDCanon City, CO 81212-9380

Mailing Address3225 Independence RdCanon City, CO 81212-9380 · (719) 275-2351 · Fax (719) 269-9386

Phone(719) 275-2351

Fax(719) 269-9386

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateMarch 12, 2007

Last NPPES UpdateJuly 29, 2020

NPPES CertifiedJuly 29, 2020

✔ NPI 1245362615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CO · 3490

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.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 2778 (CO)

Also ListedPsychologistTaxonomy 103T00000X

3225 INDEPENDENCE RD, Canon City, CO 81212

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Other Identifiers 1

Medicaid26350246CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Providence Health Plan.Insurance ›

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

Anthony Michael 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 ID5496934218

PECOS Enrollment IDI20110126000517

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.

Areas of Expertise CMS Part B claims 2

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.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

182 services23 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.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81212 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

$174.82 typical visit price

range $58.06 – $174.82

Typical copayment $43.70 (range $14.51 – $43.70)

Most-billed visit code 99205

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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.

AMANDA HAY LCSW

Social Worker