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ANTHONY M SULLIVAN PSYCHOLOGICAL SERVICES LLC
NPI 1770275869
Psychologist - Clinical in Canon City, CO

Active since May 25, 2023
608 S 9TH ST, CANON CITY, CO 81212(719) 275-5185 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 11, 2024, May 25, 2023 (2 updates tracked since 2023).

About Anthony M Sullivan Psychological Services Llc NPPES

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

ANTHONY M SULLIVAN PSYCHOLOGICAL SERVICES LLC (NPI 1770275869) is a healthcare organization registered as a clinical in Canon City, Colorado and active in the NPI registry since May 2023. The organization lists Anthony Sullivan, Owner, as its authorized official.

NPPES Registry Identity

NPI1770275869
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameANTHONY M SULLIVAN PSYCHOLOGICAL SERVICES LLC
Location Address608 S 9TH STCanon City, CO 81212-4910
Mailing Address608 S 9th StCanon City, CO 81212-4910 · (719) 275-5185
Phone(719) 275-5185
Organization SubpartNo
Authorized OfficialAnthony SullivanOwner · (719) 275-5185
Enumeration DateMay 25, 2023
Last NPPES UpdateJune 11, 20242 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
✔ NPI 1770275869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
608 S 9TH ST, Canon City, CO 81212
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Anthony M Sullivan Psychological Services LLC's NPI number?

The NPI number for Anthony M Sullivan Psychological Services LLC is 1770275869. It was assigned to this organization in the NPPES registry on May 25, 2023.

Where is Anthony M Sullivan Psychological Services LLC located?

Anthony M Sullivan Psychological Services LLC is located at 608 S 9th St, Canon City, CO 81212. The listed phone number is (719) 275-5185.

What is Anthony M Sullivan Psychological Services LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Anthony M Sullivan Psychological Services LLC was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.