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DR. GLENN R SULLIVAN PH.D.
NPI 1871764779
Psychologist - Clinical in Lexington, VA

Active since March 18, 2008PECOS EnrolledAccepts Medicare Assignment
30 CROSSING LN STE 101, LEXINGTON, VA 24450(540) 463-2080(540) 464-7648 Get Directions Write a Review

NPPES record last updated: March 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Glenn R Sullivan Ph.d. NPPES

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

DR. GLENN R SULLIVAN PH.D. (NPI 1871764779) is an individual clinical provider in Lexington, Virginia, licensed in Virginia (0810003867) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1871764779
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. GLENN R SULLIVANCredential: PH.D.
Location Address30 CROSSING LN STE 101Lexington, VA 24450-6354
Mailing Address106 Colston PlLexington, VA 24450-1812 · (540) 463-2080
Phone(540) 463-2080
Fax(540) 464-7648
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMarch 18, 2008
Last NPPES UpdateMarch 19, 2018
✔ NPI 1871764779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in VA · 0810003867
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.
30 CROSSING LN STE 101, Lexington, VA 24450
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Secondary Practice Locations 2

Location 16 E Washington StLexington, VA 24450-2562 · Phone (540) 464-7474
Location 2108 Houston St Ste DLexington, VA 24450-2455 · Phone (540) 463-2080

Other Identifiers 4

Other923366841VA · Healthkeepers
MedicaidSC0001096VA
Other336-841VA · Anthem
Other1103398805VA · United Healthcare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Glenn R Sullivan Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648331025
PECOS Enrollment IDI20081203000678
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24450 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$170.30 typical visit price
range $56.19 – $170.30
Typical copayment $42.57 (range $14.04 – $42.57)
Most-billed visit code 99205
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEXINGTON PSYCHOLOGICAL SERVICES, PLLC
Psychologist (Clinical)
30 CROSSING LN STE 101
LEXINGTON, VA 24450
Lexington City (540) 463-2080

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 Glenn Sullivan's NPI number?

The NPI number for Glenn Sullivan is 1871764779. It was assigned to this individual provider in the NPPES registry on March 18, 2008.

Where is Glenn Sullivan located?

Glenn Sullivan practices at 30 Crossing Ln Ste 101, Lexington, VA 24450. The listed phone number is (540) 463-2080.

What is Glenn Sullivan's specialty?

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

Is Glenn Sullivan enrolled in Medicare?

Yes. Glenn Sullivan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Glenn Sullivan accept?

Health plans from Providence Health Plan list Glenn 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 Glenn Sullivan was last updated on March 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.