DR. DANIEL SULLIVAN PHD
NPI 1508265976
Clinical Neuropsychologist in Saint Louis, MO

Active since August 21, 2014PECOS EnrolledAccepts Medicare Assignment
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141(314) 251-4683 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2025, Nov 25, 2020, May 10, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Daniel Sullivan Phd NPPES

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

DR. DANIEL SULLIVAN PHD (NPI 1508265976) is an individual clinical neuropsychologist in Saint Louis, Missouri, licensed in Missouri (2025009596) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Hofstra North Shore - Lij School Of Medicine (2023).

NPPES Registry Identity

NPI1508265976
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDR. DANIEL SULLIVANCredential: PHD
Location Address615 S NEW BALLAS RDSaint Louis, MO 63141-8221
Mailing Address615 S New Ballas RdSaint Louis, MO 63141-8221 · (314) 251-4683
Sole ProprietorNo
Medical School CMSHofstra North Shore - Lij School Of MedicineGraduated 2023
Enumeration DateAugust 21, 2014
Last NPPES UpdateApril 9, 20254 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
NPI 1508265976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License Licensed in MO · 2025009596
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
615 S NEW BALLAS RD, Saint Louis, MO 63141

Accepted 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

Dr. Daniel Sullivan Phd 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 ID840705802
PECOS Enrollment IDI20250717001538
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

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.

Nurse Practitioner (Family)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Nurse Practitioner (Family)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Internal Medicine
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Internal Medicine
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Anesthesiologist Assistant
615 S NEW BALLAS RD, DEPT OF ANESTHESIOLOGY
SAINT LOUIS, MO 63141
Dentist (General Practice)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Nurse Practitioner (Psychiatric/Mental Health)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Internal Medicine
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141

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 Daniel Sullivan's NPI number?

The NPI number for Daniel Sullivan is 1508265976. It was assigned to this individual provider in the NPPES registry on August 21, 2014.

Where is Daniel Sullivan located?

Daniel Sullivan practices at 615 S New Ballas Rd, Saint Louis, MO 63141. The listed phone number is (314) 251-4683.

What is Daniel Sullivan's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Daniel Sullivan enrolled in Medicare?

Yes. Daniel 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 Daniel Sullivan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Daniel 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.

Is Daniel Sullivan affiliated with any hospitals?

According to CMS data, Daniel Sullivan is affiliated with Mercy Hospital St Louis.

When was this NPI record last updated?

The NPPES record for Daniel Sullivan was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.