Erica Lynn O'Sullivan

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

207 Hudson Trce
Augusta, GA 30907-2010

Phone

(706) 823-5250

NPI assigned

Sep 14, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Erica Lynn Bertinelli Former name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Neurobehavioral Associates LLCGroup PAC ID 2769627660, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neurobehavioral Associates, LLC

  • Clinical Psychologist
  • Augusta, GA
  • NPI 1386059251
  Medicare reassignment Care Compare group NPD
• New Mercy Behavioral Health LLC

  • Clinical Social Worker
  • Jackson, MS
  • NPI 1114480753
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1023537651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 LEHAVRE CT",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086194720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 HUDSON TRCE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309072010",
            "telephone_number": "706-823-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SULLIVAN",
        "first_name": "ERICA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-14",
        "last_updated": "2024-12-05",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "BERTINELLI",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Courtney Nash O'Neal, PT, DPT
• Madison Lynn O'Neal, PHARMD
• Victoria Grace Phipps O'Neal
• Signe H. O'Neale, M.D.
• Kelli O'Quinn
• Chelsea Logan Oakes, MD
• Lashawn Kay Oates, NP
• Akindeko D Obebe, D.M.D
• Amani Obeid, M.D.
• Thomas Oberry

• Speech-Language Pathologist in Augusta, GA
• Providers in Augusta, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.