RICHARD C SULLIVAN PHD
NPI 1386658086
Psychologist - Clinical Child & Adolescent in New York, NY
- Individual
- Male
- Psychologist
- Clinical Child & Adolescent
- PECOS Enrolled
About RICHARD SULLIVAN
This page provides the complete NPI Profile along with additional information for Richard Sullivan, a provider established in New York, New York with a medical specialization in Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1386658086 assigned on July 2006. The practitioner's primary taxonomy code is 103TC2200X with license number 04548-1 (NY). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1386658086 Verify this NPI
- Provider Name
- RICHARD C SULLIVAN PHD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 460 W 34TH ST NEW YORK, NY 10001
- Location Phone
- (212) 273-6100
- Mailing Address
- 3 E 83RD ST NEW YORK, NY 10028
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-28-2006
- Last Update Date
- 07-08-2007
- Code Navigator
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
Psychologist Clinical Child & Adolescent
- Taxonomy Code
- 103TC2200X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 04548-1
- License State
- NY
- Taxonomy Description
- A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103TC2200X | Behavioral Health & Social Service Providers | Psychologist | 01220 (NJ) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| R53623 | MEDICARE UPIN (02) | NY | |
| V47222 | MEDICARE ID-TYPE UNSPECIFIED (04) | NY | CP |
Medicare Participation & PECOS Enrollment Status
Richard Sullivan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
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.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386658086, enumerated as an "individual" on July 28, 2006.
The provider is located at 460 W 34TH ST NEW YORK, NY 10001 and the phone number is (212) 273-6100.
Psychologist with taxonomy code 103TC2200X and a focus in Clinical Child & Adolescent.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
