npidexNPI registry + Medicare data

DANIEL SULLIVAN, PSY.D.

Clinical Psychologist · MOUNTAIN BRK, AL

Individual Active Opted out of Medicare NPI 1104996545

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Clinical Psychologist103TC0700X✓1803AL
Psychologist103T00000X02543TN

Medicare eligibility

Part B
Yes
DME
Yes
Home health
No
Power mobility
No
Hospice
No

Opted out of Medicare (Clinical Psychologist), effective 2021-01-01 through 2027-01-01.

Other Clinical Psychologist providers in Alabama

See all Clinical Psychologist providers in Alabama →

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.