BERNARD J SULLIVAN PHD LLC
NPI 1528183159
Psychologist - Clinical in Overland Park, KS

Q: What is Bernard J Sullivan Phd LLC's NPI number?

The NPI number for Bernard J Sullivan Phd LLC is 1528183159. It was assigned to this organization in the NPPES registry on March 20, 2007.

Q: What is Bernard J Sullivan Phd LLC's specialty?

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

Active since March 20, 2007

10540 MARTY ST STE 155, OVERLAND PARK, KS 66212(913) 451-2843(913) 383-1088 Get Directions Write a Review

NPPES record last updated: December 29, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Bernard J Sullivan Phd Llc NPPES

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

BERNARD J SULLIVAN PHD LLC (NPI 1528183159) is a healthcare organization registered as a clinical in Overland Park, Kansas and active in the NPI registry since March 2007. The organization lists Bernard John Sullivan, Member, as its authorized official.

NPPES Registry Identity

NPI1528183159

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameBERNARD J SULLIVAN PHD LLC

Location Address10540 MARTY ST STE 155Overland Park, KS 66212-2654

Mailing Address10540 Marty St Ste 155Overland Park, KS 66212-2654 · (913) 451-2843 · Fax (913) 383-1088

Phone(913) 451-2843

Fax(913) 383-1088

Organization SubpartNo

Authorized OfficialBernard John SullivanMember · (913) 451-2843

Enumeration DateMarch 20, 2007

Last NPPES UpdateDecember 29, 2010

✔ NPI 1528183159 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 KS · LP-0436

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.

10540 MARTY ST STE 155, Overland Park, KS 66212

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bernard J Sullivan Phd Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bernard J Sullivan Phd LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Bernard Sullivan, PH.D.

Clinical Psychologist

NPI 1528184306

10540 MARTY ST STE 155
Overland Park, KS 66212

(913) 451-2843

✔ PECOS✔ Accepts Medicare0.1 mi

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

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 Bernard J Sullivan Phd LLC's NPI number?

The NPI number for Bernard J Sullivan Phd LLC is 1528183159. It was assigned to this organization in the NPPES registry on March 20, 2007.

Where is Bernard J Sullivan Phd LLC located?

Bernard J Sullivan Phd LLC is located at 10540 Marty St Ste 155, Overland Park, KS 66212. The listed phone number is (913) 451-2843.

What is Bernard J Sullivan Phd LLC's specialty?

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

Is Bernard J Sullivan Phd LLC enrolled in Medicare?

Yes. Bernard J Sullivan Phd LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bernard J Sullivan Phd LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Bernard J Sullivan Phd LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bernard J Sullivan Phd LLC was last updated on December 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.