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DR. MICHELLE SULLIVAN-GAST PSY.D.
NPI 1417227968
Psychologist - Clinical in Fairfax, VA

Active since December 30, 2011
3040 WILLIAMS DR, SUITE 402, FAIRFAX, VA 22031(703) 573-3573(703) 573-3574 Get Directions Write a Review

NPPES record last updated: December 30, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michelle Sullivan-gast Psy.d. NPPES

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

DR. MICHELLE SULLIVAN-GAST PSY.D. (NPI 1417227968) is an individual clinical provider in Fairfax, Virginia, licensed in Virginia (0810004489) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1417227968
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MICHELLE SULLIVAN-GASTCredential: PSY.D.
Location Address3040 WILLIAMS DR, SUITE 402Fairfax, VA 22031-4618
Mailing Address3040 Williams Dr, Suite 402Fairfax, VA 22031-4618 · (703) 573-3573 · Fax (703) 573-3574
Phone(703) 573-3573
Fax(703) 573-3574
Sole ProprietorNo
Enumeration DateDecember 30, 2011
✔ NPI 1417227968 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 VA · 0810004489
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.
3040 WILLIAMS DR, Fairfax, VA 22031
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Other Names 1

Former Name (1)Dr. Michelle Sullivan

Other Providers at the Same Location NPPES 5

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

BARRY B EKDOM PHD, PC
Clinical Neuropsychologist
3040 WILLIAMS DR, SUITE 402
FAIRFAX, VA 22031
Fairfax County (703) 573-3575
DR. IRENA MORIN FEDOROVSKY PSY.D.
Psychologist (Clinical)
3040 WILLIAMS DR, SUITE # 402
FAIRFAX, VA 22031
Fairfax County (703) 573-3573
NANA DICKSON, DDS PC
Dentist
3040 WILLIAMS DR, SUITE #201
FAIRFAX, VA 22031
Fairfax County (571) 419-6897
DR. BARRY B. EKDOM PH.D.
Clinical Neuropsychologist
3040 WILLIAMS DR, SUITE 402
FAIRFAX, VA 22031
Fairfax County (703) 573-3573
DR. NANA DICKSON D.D.S.
Dentist (General Practice)
3040 WILLIAMS DR, STE. #201
FAIRFAX, VA 22031
Fairfax County (571) 419-6897

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 Michelle Sullivan-gast's NPI number?

The NPI number for Michelle Sullivan-gast is 1417227968. It was assigned to this individual provider in the NPPES registry on December 30, 2011. The provider is also known as Dr. Michelle Sullivan.

Where is Michelle Sullivan-gast located?

Michelle Sullivan-gast practices at 3040 Williams Dr Suite 402, Fairfax, VA 22031. The listed phone number is (703) 573-3573.

What is Michelle Sullivan-gast's specialty?

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

When was this NPI record last updated?

The NPPES record for Michelle Sullivan-gast was last updated on December 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.