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THERESIA SUTHERLIN MD
NPI 1417416348
Psychiatry & Neurology - Child & Adolescent Psychiatry in Philadelphia, PA

Active since March 19, 2019PECOS Enrolled
4601 MARKET ST FL 3, PHILADELPHIA, PA 19139(215) 590-6267 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 23, 2024, Nov 18, 2024, Mar 19, 2019 (3 updates tracked since 2019).

About Theresia Sutherlin Md NPPES

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

THERESIA SUTHERLIN MD (NPI 1417416348) is an individual child & adolescent psychiatry provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD487066) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Tulane University School Of Medicine (2019).

NPPES Registry Identity

NPI1417416348
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameTHERESIA SUTHERLINCredential: MD
Location Address4601 MARKET ST FL 3Philadelphia, PA 19139-4636
Mailing Address1430 Tulane Ave # 8055New Orleans, LA 70112-2632 · (504) 988-7829 · Fax (504) 988-4264
Phone(215) 590-6267
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 2019
Enumeration DateMarch 19, 2019
Last NPPES UpdateDecember 23, 20243 updates tracked since enumeration
NPPES CertifiedDecember 23, 2024
✔ NPI 1417416348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses✔ Licensed in PA · MD487066✔ Licensed in LA · 336008
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4601 MARKET ST FL 3, Philadelphia, PA 19139
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11430 Tulane Ave # 8055New Orleans, LA 70112-2632 · Phone (504) 988-7829 · Fax (504) 988-4264
Location 2111 Michigan Ave NWWashington, DC 20010-2916 · Phone (202) 476-3277

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theresia Sutherlin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557897691
PECOS Enrollment IDI20251016003126
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Theresia Sutherlin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Children's Hospital
120 mi
Pediatrics
111 MICHIGAN AVE NW
Washington, DC 20010
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,417 clinicians in this Medicare group
NPI 1780800128 (202) 476-5000
Acadia Hospital Corp
470 mi
Psychiatric Hospital
268 STILLWATER AVENUE
Bangor, ME 04401
  • Reassigned Medicare billing, Maine enrollment
  • 348 clinicians in this Medicare group
NPI 1215940523 (207) 973-6470

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

CASEY LYNN GANZ-LEARY MA, LPC
Counselor (Professional)
4601 MARKET ST FL 3
PHILADELPHIA, PA 19139
Philadelphia County (215) 590-7555
ANNE KEARNEY CRNP
Nurse Practitioner (Psychiatric/Mental Health)
4601 MARKET ST FL 3
PHILADELPHIA, PA 19139
Philadelphia County (215) 590-7555
DR. REBECCA EMILY LOUISE HEIDEN PHD
Psychologist
4601 MARKET ST FL 3
PHILADELPHIA, PA 19139
Philadelphia County (374) 440-4702
ANNE LYNCH
Psychologist (Clinical)
4601 MARKET ST FL 3
PHILADELPHIA, PA 19139
Philadelphia County (215) 878-3400
JULIA KATZ M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4601 MARKET ST FL 3
PHILADELPHIA, PA 19139
Philadelphia County (215) 590-7555
DR. ELIZABETH PATRICE MCKERNAN PH.D.
Psychologist
4601 MARKET ST FL 3
PHILADELPHIA, PA 19139
Philadelphia County (215) 590-7555
ALISON R ZISSER-NATHENSON PH.D.
Psychologist (Clinical)
4601 MARKET ST FL 3
PHILADELPHIA, PA 19139
Philadelphia County (215) 590-7555
SYDNEY KANG
Student in an Organized Health Care Education/Training Program
4601 MARKET ST FL 3
PHILADELPHIA, PA 19139
Philadelphia County (215) 590-7555

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 Theresia Sutherlin's NPI number?

The NPI number for Theresia Sutherlin is 1417416348. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Where is Theresia Sutherlin located?

Theresia Sutherlin practices at 4601 Market St Fl 3, Philadelphia, PA 19139. The listed phone number is (215) 590-6267.

What is Theresia Sutherlin's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Theresia Sutherlin enrolled in Medicare?

Yes. Theresia Sutherlin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Theresia Sutherlin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresia Sutherlin reassigns Medicare benefits to 2 organizations: Children's Hospital (Washington, DC) and Acadia Hospital Corp (Bangor, ME). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theresia Sutherlin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theresia Sutherlin accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Taro Health list Theresia Sutherlin 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 Theresia Sutherlin was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.