Nancy Elizabeth Sullivan, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY15181 Issued in CA

Practice address

2555 Park Blvd
Suite 20
Palo Alto, CA 94306-1924

Phone

(650) 245-8685

Fax

(650) 847-7636

NPI assigned

Jul 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254700800000",
    "number": "1215952759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940260338",
            "telephone_number": "650-245-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 PARK BLVD",
            "address_2": "SUITE 20",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061924",
            "telephone_number": "650-245-8685",
            "fax_number": "650-847-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "NANCY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2009-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY15181",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY15181",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meera Sukumaran, MBBS
• Shazeen Suleman, MD
• Emily Elizabeth Sullivan
• Kari Wujcik Sullivan, NP
• Monika Marie Sullivan, DO
• Pervez Sultan, MD
• Mina Sultana, DDS
• Lirio Sumera
• Eyrica Naomi Sumida
• Summit Estate Recovery Centers LLC (Summit Estate)

• Clinical Neuropsychologist in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.