Fiona Kate Roy Sullivan, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

7599 Issued in MA

Practice address

621 Main St
Suite 1
Shrewsbury, MA 01545-5668

Phone

(508) 397-2589

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

Yes

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

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073734893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WOODSTONE RD",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015321047",
            "telephone_number": "508-393-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 MAIN ST",
            "address_2": "SUITE 1",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015455668",
            "telephone_number": "508-397-2589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY SULLIVAN",
        "first_name": "FIONA",
        "middle_name": "KATE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "7599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Del Pilar Rodriguez Acosta, DMD
• Nancy M. Rodriguez, B.S. ED
• Stephen Rogers
• Magaly Rojas, DC
• Root to Rise Psychotherapy, LLC
• Debraj Roy
• Chantal Marie Royer-Haig, MA-LMHC
• Emilyann Eve Rudzinski, DC
• Cathryn Ryan, OTR/L
• Kimberly Michelle Ryan, BEHAVIORAL HEALTH

• Psychologist in Shrewsbury, MA
• Providers in Shrewsbury, MA by specialty
• Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.