DR. KELLY MARIE SULLIVAN PH.D.
NPI 1639224025
Psychologist in Durham, NC
About Dr. Kelly Marie Sullivan Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KELLY MARIE SULLIVAN PH.D. (NPI 1639224025) is an individual psychologist in Durham, North Carolina, licensed in North Carolina (3498) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kelly Marie Sullivan Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kelly Sullivan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Durham, NC 27710
- Reassigned Medicare billing, North Carolina enrollment
- 3,671 clinicians in this Medicare group
Durham, NC 27705
- Reassigned Medicare billing, North Carolina enrollment
- 1,503 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.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DURHAM, NC 27701
DURHAM, NC 27701
DURHAM, NC 27701
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 Kelly Sullivan's NPI number?
The NPI number for Kelly Sullivan is 1639224025. It was assigned to this individual provider in the NPPES registry on January 24, 2007.
Where is Kelly Sullivan located?
Kelly Sullivan practices at 1121 W Chapel Hill St Ste 100, Durham, NC 27701. The listed phone number is (919) 385-0733.
What is Kelly Sullivan's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Kelly Sullivan enrolled in Medicare?
Yes. Kelly Sullivan is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kelly Sullivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Sullivan reassigns Medicare benefits to 2 organizations: Duke Health Integrated Practice, Inc. (Durham, NC) and Duke University Health System, Inc. (Durham, NC). 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 Kelly Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Sullivan accept?
Health plans from Blue Cross and Blue Shield of NC list Kelly 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.
When was this NPI record last updated?
The NPPES record for Kelly Sullivan was last updated on July 15, 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.