DR. LISA MARIE SULLIVAN PSY.D.
NPI 1275771107
Counselor - Professional in Everett, WA
NPI Status: Active since January 30, 2009
Contact Information
5700 23RD DR W
EVERETT, WA
ZIP 98203
Phone: (425) 332-2326
- Individual
- Female
- Counselor
- Professional
- Opted-Out Medicare
About LISA SULLIVAN
This page provides the complete NPI Profile along with additional information for Lisa Sullivan, a provider established in Everett, Washington with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1275771107 assigned on January 2009. The practitioner's primary taxonomy code is 101YP2500X with license number RC 00060534 (WA). The provider is registered as an individual and her NPI record was last updated 16 years ago.
- NPI
- 1275771107
- Provider Name
- DR. LISA MARIE SULLIVAN PSY.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5700 23RD DR W EVERETT, WA 98203
- Location Phone
- (425) 332-2326
- Mailing Address
- 5700 23RD DR W EVERETT, WA 98203
- Mailing Phone
- (425) 322-2326
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-30-2009
- Last Update Date
- 01-30-2009
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Lisa Sullivan opted out of Medicare effective on 01-10-2024 until 01-10-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- RC 00060534
- License State
- WA
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-10-2024
Opt-Out End Date: 01-10-2026
Eligible to Order and Refer? No
Reviews for DR. LISA MARIE SULLIVAN PSY.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 7 | 5 | 7 | 7 | 1 | 1 | 0 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 14 | 7 | 2 | 1 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 1 + 4 + 7 + 2 + 1 + 0 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1275771107 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
CHRISTINA M. NICOLICI M.S., CCC-SLP
Speech-Language Pathologist
5700 23RD DR W
EVERETT, WA
ZIP 98203
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275771107, enumerated as an "individual" on January 30, 2009.
The provider is located at 5700 23RD DR W EVERETT, WA 98203 and the phone number is (425) 332-2326.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
