ALICIA LYNN SULLIVAN PH.D
NPI 1750760393
Psychologist in Baltimore, MD

Active since May 28, 2015PECOS Enrolled
707 N BROADWAY, BALTIMORE, MD 21205(443) 923-1872 Get Directions Write a Review

NPPES record last updated: January 10, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Alicia Lynn Sullivan Ph.d NPPES

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

ALICIA LYNN SULLIVAN PH.D (NPI 1750760393) is an individual psychologist in Baltimore, Maryland, licensed in Maryland (06003) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750760393
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameALICIA LYNN SULLIVANCredential: PH.D
Location Address707 N BROADWAYBaltimore, MD 21205-1832
Mailing Address2931 E Biddle StBaltimore, MD 21213-3939
Sole ProprietorNo
Enumeration DateMay 28, 2015
Last NPPES UpdateJanuary 10, 2020
NPI 1750760393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MD · 06003
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

707 N BROADWAY, Baltimore, MD 21205

Medicare Participation & PECOS Enrollment Status

Alicia Sullivan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for ALICIA LYNN SULLIVAN PH.D

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Pediatrics)
707 N BROADWAY
BALTIMORE, MD 21205
Psychiatry & Neurology (Neurology)
707 N BROADWAY
BALTIMORE, MD 21205
Psychiatry & Neurology (Psychiatry)
707 N BROADWAY
BALTIMORE, MD 21205
Psychiatry & Neurology (Neurodevelopmental Disabilities)
707 N BROADWAY
BALTIMORE, MD 21205
Psychiatry & Neurology (Psychiatry)
707 N BROADWAY
BALTIMORE, MD 21205
Psychiatry & Neurology (Child & Adolescent Psychiatry)
707 N BROADWAY, KENNEDY KRIEGER INSTITUTE
BALTIMORE, MD 21205
Pediatrics
707 N BROADWAY
BALTIMORE, MD 21205
Psychologist
707 N BROADWAY, SUITE 232
BALTIMORE, MD 21205
Pediatrics
707 N BROADWAY
BALTIMORE, MD 21205
Nurse Practitioner (Pediatrics)
707 N BROADWAY
BALTIMORE, MD 21205
Nurse Practitioner (Pediatrics)
707 N BROADWAY
BALTIMORE, MD 21205
Pediatrics
707 N BROADWAY
BALTIMORE, MD 21205
Nurse Practitioner (Pediatrics)
707 N BROADWAY
BALTIMORE, MD 21205
Nurse Practitioner (Pediatrics)
707 N BROADWAY
BALTIMORE, MD 21205
Nurse Practitioner (Pediatrics)
707 N BROADWAY
BALTIMORE, MD 21205
Pediatrics (Neurodevelopmental Disabilities)
707 N BROADWAY
BALTIMORE, MD 21205
Psychiatry & Neurology (Neurology)
707 N BROADWAY
BALTIMORE, MD 21205
Pediatrics (Neurodevelopmental Disabilities)
707 N BROADWAY
BALTIMORE, MD 21205
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
707 N BROADWAY, KENNEDY KRIEGER INSTITUTE
BALTIMORE, MD 21205
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)
707 N BROADWAY, KENNEDY KRIEGER INSTITUTE
BALTIMORE, MD 21205

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750760393, enumerated as an "individual" on May 28, 2015.

The provider is located at 707 N BROADWAY BALTIMORE, MD 21205 and the phone number is (443) 923-1872.

Psychologist with taxonomy code 103T00000X.