ANN MARIE THERESA SULLIVAN MD
NPI 1578685335
Psychiatry & Neurology - Psychiatry in Elmhurst, NY

Active since April 04, 2007PECOS Enrolled
80TH ST & 41ST AVE, ELMHURST, NY 11373(718) 334-3900(718) 334-5958 Get Directions Write a Review

NPPES record last updated: May 12, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ann Marie Theresa Sullivan Md NPPES

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

ANN MARIE THERESA SULLIVAN MD (NPI 1578685335) is an individual psychiatry provider in Elmhurst, New York, licensed in New York (124480) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578685335
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameANN MARIE THERESA SULLIVANCredential: MD
Location Address80TH ST & 41ST AVEElmhurst, NY 11373
Mailing Address44 Holland Ave, Fl 8Albany, NY 12208-3411 · (518) 474-4403
Fax(718) 334-5958
Sole ProprietorNo
Enumeration DateApril 4, 2007
Last NPPES UpdateMay 12, 2016
✔ NPI 1578685335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 124480
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
80TH ST & 41ST AVE, Elmhurst, NY 11373

Other Identifiers 2

Medicaid00246075NY
Medicare ID-Type Unspecified0033S128NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ann Marie Theresa Sullivan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Ann Marie Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Adult Mental Health
600 E 125TH ST
New York, NY 10035
  • Reassigned Medicare billing, New York enrollment
  • 54 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11373 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$201.98 typical visit price
range $67.00 – $201.98
Typical copayment $50.49 (range $16.75 – $50.49)
Most-billed visit code 99205
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 (Primary Care)
80TH ST & 41ST AVE
ELMHURST, NY 11373
Physician Assistant
80TH ST & 41ST AVE
ELMHURST, NY 11373
Physical Therapist
80TH ST & 41ST AVE
ELMHURST, NY 11373
Social Worker
80TH ST & 41ST AVE
ELMHURST, NY 11373
Nurse Practitioner (Adult Health)
80TH ST & 41ST AVE
ELMHURST, NY 11373
Social Worker (Clinical)
80TH ST & 41ST AVE
ELMHURST, NY 11373
Social Worker
80TH ST & 41ST AVE
ELMHURST, NY 11373
Occupational Therapist
80TH ST & 41ST AVE
ELMHURST, NY 11373

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 Ann Marie Sullivan's NPI number?

The NPI number for Ann Marie Sullivan is 1578685335. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Where is Ann Marie Sullivan located?

Ann Marie Sullivan practices at 80th St & 41st Ave, Elmhurst, NY 11373. The listed phone number is (718) 334-3900.

What is Ann Marie Sullivan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Ann Marie Sullivan enrolled in Medicare?

Yes. Ann Marie Sullivan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ann Marie Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ann Marie Sullivan reassigns Medicare benefits to Nys Office Of Mental Health (New York, NY). The 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 Ann Marie Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ann Marie Sullivan was last updated on May 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.