1. Home
  2. Directory
  3. Washington
  4. Vancouver
  5. Psychologist
  6. NPI Profile

DR. VERONICA N SULLIVAN PH.D.
NPI 1639459191
Psychologist - Clinical in Vancouver, WA

Active since August 27, 2011Opted out of Medicare · through Apr 1, 2028
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684(518) 894-8263 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 25, 2025, Jan 5, 2022, Mar 25, 2016 (3 updates tracked since 2016).

About Dr. Veronica N Sullivan Ph.d. NPPES

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

DR. VERONICA N SULLIVAN PH.D. (NPI 1639459191) is an individual clinical provider in Vancouver, Washington, licensed in Washington (PY60540411) and active in the NPI registry since August 2011. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1639459191
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. VERONICA N SULLIVANCredential: PH.D.
Location Address12607 SE MILL PLAIN BLVDVancouver, WA 98684-4098
Mailing Address12607 Se Mill Plain BlvdVancouver, WA 98684-4098 · (518) 894-8263
Phone(518) 894-8263
Sole ProprietorNo
Enumeration DateAugust 27, 2011
Last NPPES UpdateNovember 25, 20253 updates tracked since enumeration
NPPES CertifiedNovember 25, 2025
✔ NPI 1639459191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in WA · PY60540411✔ Licensed in FL · TPPY3078
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.
12607 SE MILL PLAIN BLVD, Vancouver, WA 98684
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Veronica N Sullivan Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2026 through April 1, 2028.

Opt-Out Effective DateApril 1, 2026
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

MISS MELISSA DAWN HILL
Counselor (Addiction (Substance Use Disorder))
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (800) 813-2000
ABERA GELETO ABU PHARM D
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 449-1600
IMOGEN KANE
Student in an Organized Health Care Education/Training Program
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 418-6001
DR. MARVIN ARNOLD HELDE O.D.
Optometrist
12607 SE MILL PLAIN BLVD, KAISER PERMANENTE CASCADE PARK MEDICAL FACILITY
VANCOUVER, WA 98684
Clark County (360) 896-4456
TIMOTHY W WEST MA, LPC, CDP, CADC 3
Counselor (Mental Health)
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 891-6275
BRODY TUCKER LCSW
Social Worker (Clinical)
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 558-2456
DR. MICHELE LYNN SEQUEIRA MD
Family Medicine
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 891-6208
CATHERINE MYRA STROUSE M.D.
Family Medicine
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (866) 420-2244

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 Veronica Sullivan's NPI number?

The NPI number for Veronica Sullivan is 1639459191. It was assigned to this individual provider in the NPPES registry on August 27, 2011.

Where is Veronica Sullivan located?

Veronica Sullivan practices at 12607 SE Mill Plain Blvd, Vancouver, WA 98684. The listed phone number is (518) 894-8263.

What is Veronica Sullivan's specialty?

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

Is Veronica Sullivan enrolled in Medicare?

No. Veronica Sullivan has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Veronica Sullivan accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente and Regence BlueCross BlueShield of Oregon list Veronica 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 Veronica Sullivan was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.