Molly Sullan, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

5546 Issued in CO

Practice address

7720 S Broadway Ste 300
Littleton, CO 80122-2624

Phone

(720) 242-7533

NPI assigned

Jul 13, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

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.

• Summit Neuropsychological Services LLC

  • Clinical Neuropsychologist
  • Boulder, CO
  • NPI 1396414108
  NPD (past)

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1023680709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7720 S BROADWAY STE 300",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222624",
            "telephone_number": "720-242-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 S BROADWAY STE 300",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222624",
            "telephone_number": "720-242-7533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Center Green Dr Ste 230",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803012364",
            "country_code": "US",
            "telephone_number": "720-242-7533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLAN",
        "first_name": "MOLLY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CO",
            "license": "5546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Stump
• Ashley Elizabeth Sturdy, M.D.
• Ashlynn Sturgis
• Chastity Suglia
• Matthew Adam Suitt
• Amanda Sullivan, DO
• Ann-Michelle Sullivan
• Caroline Sullivan, LPC
• Christopher Sullivan, DPM
• Clare Sullivan, ARNP

• Clinical Neuropsychologist in Littleton, CO
• Providers in Littleton, CO by specialty
• Clinical Neuropsychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.