STEPHANIE SULLIVAN PHD, LMHC
NPI 1417677105
Counselor - Mental Health in Boston, MA
About Stephanie Sullivan Phd, Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHANIE SULLIVAN PHD, LMHC (NPI 1417677105) is an individual mental health provider in Boston, Massachusetts, licensed in Massachusetts (5518) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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
Stephanie Sullivan Phd, Lmhc 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.
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.
BOSTON, MA 02118
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 Stephanie Sullivan's NPI number?
The NPI number for Stephanie Sullivan is 1417677105. It was assigned to this individual provider in the NPPES registry on September 1, 2022. The provider is also known as Stephanie Collins.
Where is Stephanie Sullivan located?
Stephanie Sullivan practices at 780 Albany St, Boston, MA 02118. The listed phone number is (857) 654-1002.
What is Stephanie Sullivan's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Stephanie Sullivan enrolled in Medicare?
Yes. Stephanie 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.
When was this NPI record last updated?
The NPPES record for Stephanie Sullivan was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Stephanie Sullivan, PHD, LMHC · NPI 1417677105
Mental Health provider in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since September 1, 2022.
## Identity
- **NPI:** 1417677105 (Entity type: Individual)
- **Enumerated:** September 1, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 5518 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 780 ALBANY ST, Boston, MA 02118-2755
- **Phone:** (857) 654-1002
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** September 1, 2022
- **Other identifiers:** Other S20079445 (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1417677105) · Data from the CMS NPPES public registry.