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RITA DE-HAAN SULLIVAN PH.D
NPI 1417034794
Psychologist - Clinical in Medford, OR

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
201 W MAIN ST, SUITE 1B, MEDFORD, OR 97501(541) 944-5711 Get Directions Write a Review

NPPES record last updated: May 11, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 11, 2017, Dec 22, 2016 (2 updates tracked since 2016).

About Rita De-haan Sullivan Ph.d NPPES

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

RITA DE-HAAN SULLIVAN PH.D (NPI 1417034794) is an individual clinical provider in Medford, Oregon, licensed in Oregon (965) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1417034794
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameRITA DE-HAAN SULLIVANCredential: PH.D
Location Address201 W MAIN ST, SUITE 1BMedford, OR 97501-2744
Mailing AddressPo Box 4152Medford, OR 97501-0154 · (541) 944-5711
Phone(541) 944-5711
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateNovember 1, 2006
Last NPPES UpdateMay 11, 20172 updates tracked since enumeration
✔ NPI 1417034794 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 OR · 965
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.
201 W MAIN ST, Medford, OR 97501
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Other Identifiers 1

Medicare UPINR192147OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.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

Rita De-haan Sullivan Ph.d 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 ID749219301
PECOS Enrollment IDI20170112002405
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 97501 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
$166.64 typical visit price
range $54.96 – $166.64
Typical copayment $41.66 (range $13.74 – $41.66)
Most-billed visit code 99205
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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 14

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

HALEY BOYD
Case Manager/Care Coordinator
201 W MAIN ST
MEDFORD, OR 97501
Jackson County (707) 628-5731
COMMUNITY WORKS, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
201 W MAIN ST, #3D
MEDFORD, OR 97501
Jackson County (541) 779-2393
GWENDOLYN ST HILAIRE
Counselor (Mental Health)
201 W MAIN ST
MEDFORD, OR 97501
Jackson County (541) 314-3415
COMMUNITY WORKS, INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
201 W MAIN ST, #3D
MEDFORD, OR 97501
Jackson County (541) 779-2393
SUSAN BROWN
Behavior Analyst
201 W MAIN ST
MEDFORD, OR 97501
Jackson County (541) 414-1750
GRACE WARNER PETTYGROVE
Counselor (Mental Health)
201 W MAIN ST
MEDFORD, OR 97501
Jackson County (541) 414-1720
EIREEN DALE MADELO
Case Manager/Care Coordinator
201 W MAIN ST
MEDFORD, OR 97501
Jackson County (541) 281-9026
REBECCA STRIPLIN M.A.
Counselor (Mental Health)
201 W MAIN ST, STE. 3D
MEDFORD, OR 97501
Jackson County (541) 779-2393

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 Rita Sullivan's NPI number?

The NPI number for Rita Sullivan is 1417034794. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Rita Sullivan located?

Rita Sullivan practices at 201 W Main St Suite 1B, Medford, OR 97501. The listed phone number is (541) 944-5711.

What is Rita Sullivan's specialty?

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

Is Rita Sullivan enrolled in Medicare?

Yes. Rita 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.

What insurance does Rita Sullivan accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Rita Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rita Sullivan was last updated on May 11, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.