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MANDY SULLIVAN LPC
NPI 1982960431
Counselor - Professional in Middletown, CT

Active since April 10, 2012PECOS Enrolled
635 MAIN ST, MIDDLETOWN, CT 06457(860) 347-6971(860) 704-8034 Get Directions Write a Review

NPPES record last updated: April 10, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mandy Sullivan Lpc NPPES

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

MANDY SULLIVAN LPC (NPI 1982960431) is an individual professional provider in Middletown, Connecticut, licensed in Connecticut (002169) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982960431
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMANDY SULLIVANCredential: LPC
Location Address635 MAIN STMiddletown, CT 06457-2718
Mailing Address575 Main St Fl 2, Attn: Credentialing DptMiddletown, CT 06457-2845 · (860) 347-6971
Phone(860) 347-6971
Fax(860) 704-8034
Sole ProprietorNo
Enumeration DateApril 10, 2012
✔ NPI 1982960431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CT · 002169
635 MAIN ST, Middletown, CT 06457
Open in Google Maps ↗

Other Identifiers 1

Medicaid004236338CT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mandy Sullivan Lpc 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.

MS. ALISSA WURTZEL LCSW
Social Worker
635 MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971
MAUREEN PICKUP MSW
Social Worker
635 MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971
PAUL SADOWITZ MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
635 MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971
ANN EDDINGER APRN
Nurse Practitioner (Family)
635 MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971
NANCY TROUERN TREND RN
Registered Nurse
635 MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971
REBECCA ELECK MD
Family Medicine
635 MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971
CHRISTINE FOLEY PHD
Psychologist
635 MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971
SALLY ANN WOITOWITZ RDH
Dental Hygienist
635 MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971

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 Mandy Sullivan's NPI number?

The NPI number for Mandy Sullivan is 1982960431. It was assigned to this individual provider in the NPPES registry on April 10, 2012.

Where is Mandy Sullivan located?

Mandy Sullivan practices at 635 Main St, Middletown, CT 06457. The listed phone number is (860) 347-6971.

What is Mandy Sullivan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Mandy Sullivan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mandy Sullivan was last updated on April 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.