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: August 16, 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 CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Alicia Lynn Sullivan Ph.d 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.

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.

Physical Therapy Assistant
707 N BROADWAY
BALTIMORE, MD 21205
Physical Therapist
707 N BROADWAY, KENNEDY KRIEGER INSTITUTE
BALTIMORE, MD 21205
Psychologist
707 N BROADWAY, KENNEDY KRIEGER INSTITUTE
BALTIMORE, MD 21205
Social Worker
707 N BROADWAY
BALTIMORE, MD 21205
Psychologist (Clinical)
707 N BROADWAY
BALTIMORE, MD 21205
Behavior Analyst
707 N BROADWAY, KENNEDY KRIEGER INSTITUTE- BEHAVIORAL PSYCHOLOGY
BALTIMORE, MD 21205
Speech-Language Pathologist
707 N BROADWAY
BALTIMORE, MD 21205
Physical Therapist
707 N BROADWAY
BALTIMORE, MD 21205

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 Alicia Sullivan's NPI number?

The NPI number for Alicia Sullivan is 1750760393. It was assigned to this individual provider in the NPPES registry on May 28, 2015.

Where is Alicia Sullivan located?

Alicia Sullivan practices at 707 N Broadway, Baltimore, MD 21205. The listed phone number is (443) 923-1872.

What is Alicia Sullivan's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Alicia Sullivan enrolled in Medicare?

Yes. Alicia Sullivan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alicia Sullivan was last updated on January 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.