1. Home
  2. Directory
  3. Alabama
  4. Huntsville
  5. Psychologist
  6. NPI Profile

KENNETH P. SULLIVAN PH.D.
NPI 1932256302
Psychologist - Clinical in Huntsville, AL

Active since January 05, 2007PECOS EnrolledAccepts Medicare Assignment
1104 GLENEAGLES DR SW # B, HUNTSVILLE, AL 35801(256) 880-8202(256) 880-8234 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth P. Sullivan Ph.d. NPPES

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

KENNETH P. SULLIVAN PH.D. (NPI 1932256302) is an individual clinical provider in Huntsville, Alabama, licensed in Alabama (413) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1932256302
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameKENNETH P. SULLIVANCredential: PH.D.
Location Address1104 GLENEAGLES DR SW # BHuntsville, AL 35801-6404
Mailing Address1104 Gleneagles Dr Sw # BHuntsville, AL 35801-6404 · (256) 880-8202 · Fax (256) 880-8234
Phone(256) 880-8202
Fax(256) 880-8234
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateJanuary 5, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1932256302 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 AL · 413
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.
1104 GLENEAGLES DR SW # B, Huntsville, AL 35801
Open in Google Maps ↗

Other Identifiers 6

Medicare UPIN117581AL
Medicaid000070874AL
Medicare UPIN51070874AL
Medicare UPIN515-22394AL
Medicare UPIN184585AL
Medicare ID-Type Unspecified70874SULAL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, 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

Kenneth P. 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 ID8921266990
PECOS Enrollment IDI20120222000235
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
132 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35801 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
$161.63 typical visit price
range $52.65 – $161.63
Typical copayment $40.40 (range $13.16 – $40.40)
Most-billed visit code 99205
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

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 Kenneth Sullivan's NPI number?

The NPI number for Kenneth Sullivan is 1932256302. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Kenneth Sullivan located?

Kenneth Sullivan practices at 1104 Gleneagles Dr SW # B, Huntsville, AL 35801. The listed phone number is (256) 880-8202.

What is Kenneth Sullivan's specialty?

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

Is Kenneth Sullivan enrolled in Medicare?

Yes. Kenneth 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 Kenneth Sullivan accept?

Health plans from Blue Cross and Blue Shield of Alabama and Providence Health Plan list Kenneth 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 Kenneth Sullivan was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.