DR. ALEXANDRA SULLIVAN PHD
NPI 1922803857
Psychologist - Clinical in San Francisco, CA

Q: What is Alexandra Sullivan's NPI number?

The NPI number for Alexandra Sullivan is 1922803857. It was assigned to this individual provider in the NPPES registry on February 14, 2025.

Q: What is Alexandra Sullivan's specialty?

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

Active since February 14, 2025PECOS Enrolled

675 18TH ST # PB-5250, SAN FRANCISCO, CA 94143(415) 476-7000 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 21, 2025, Feb 14, 2025 (2 updates tracked since 2025).

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About Dr. Alexandra Sullivan Phd NPPES

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

DR. ALEXANDRA SULLIVAN PHD (NPI 1922803857) is an individual clinical provider in San Francisco, California, licensed in California (35492) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and maintains a secondary practice location in Berkeley.

NPPES Registry Identity

NPI1922803857

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. ALEXANDRA SULLIVANCredential: PHD

Location Address675 18TH ST # PB-5250San Francisco, CA 94143-4200

Mailing Address1818 Sonoma AveBerkeley, CA 94707-2508 · (802) 734-6798

Phone(415) 476-7000

Sole ProprietorYes

Enumeration DateFebruary 14, 2025

Last NPPES UpdateMay 21, 20252 updates tracked since enumeration

NPPES CertifiedMay 21, 2025

✔ NPI 1922803857 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 CA · 35492

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.

675 18TH ST # PB-5250, San Francisco, CA 94143

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Secondary Practice Location 1

Location 11818 Sonoma AveBerkeley, CA 94707-2508 · Phone (802) 734-6798

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alexandra Sullivan Phd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94143 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

$202.35 typical visit price

range $69.00 – $202.35

Typical copayment $50.58 (range $17.25 – $50.58)

Most-billed visit code 99205

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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 7

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

MEGAN RAMAIYA MSC

Psychiatry & Neurology (Psychiatry)