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DR. BERNARD HARRELL SULLIVAN JR. PHD
NPI 1326282633
Psychologist - Clinical in Dallas, NC

Active since April 30, 2009PECOS Enrolled
203 N HOFFMAN ST, DALLAS, NC 28034(704) 813-4033 Get Directions Write a Review

NPPES record last updated: January 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 14, 2019, Feb 10, 2017 (2 updates tracked since 2017).

About Dr. Bernard Harrell Sullivan Jr. Phd NPPES

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

DR. BERNARD HARRELL SULLIVAN JR. PHD (NPI 1326282633) is an individual clinical provider in Dallas, North Carolina, licensed in North Carolina (102806) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326282633
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. BERNARD HARRELL SULLIVAN JR.Credential: PHD
Location Address203 N HOFFMAN STDallas, NC 28034-1525
Mailing Address203 N Hoffman StDallas, NC 28034-1525 · (704) 813-4033
Phone(704) 813-4033
Sole ProprietorNo
Enumeration DateApril 30, 2009
Last NPPES UpdateJanuary 14, 20192 updates tracked since enumeration
✔ NPI 1326282633 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 NC · 102806
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.
203 N HOFFMAN ST, Dallas, NC 28034
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Other Identifiers 2

Other1817WNC · Bcbs Nc
Medicaid6001164NC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bernard Harrell Sullivan Jr. Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 28034 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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 Bernard Sullivan's NPI number?

The NPI number for Bernard Sullivan is 1326282633. It was assigned to this individual provider in the NPPES registry on April 30, 2009.

Where is Bernard Sullivan located?

Bernard Sullivan practices at 203 N Hoffman St, Dallas, NC 28034. The listed phone number is (704) 813-4033.

What is Bernard Sullivan's specialty?

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

Is Bernard Sullivan enrolled in Medicare?

Yes. Bernard Sullivan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bernard Sullivan was last updated on January 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.