Active NPI
Eric L Sullivan, PH.D.
- Clinical Psychologist
- Columbus, OH
National Provider Identifier
1730467945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6956
- Practice address
- 2231 N High St
Columbus, OH 43201-1194 - Phone
- (614) 293-2700
- NPI assigned
- Jul 22, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6956 | OH | Primary |
Addresses
Primary practice location
2231 N High St
Columbus, OH 43201-1194
Mailing address
2231 N High St
Columbus, OH 43201-1194
Phone (614) 293-2700
Other practice location 1
420 North James Road
Chalmers P. Wylie Veterans Clinic
Columbus, OH 43219
Phone (614) 257-5631
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6956 | OH | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1730467945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2231 N HIGH ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432011194",
"telephone_number": "614-293-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2231 N HIGH ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432011194",
"telephone_number": "614-293-2700"
}
],
"practiceLocations": [
{
"address_1": "420 North James Road",
"address_2": "Chalmers P. Wylie Veterans Clinic",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "43219",
"country_code": "US",
"telephone_number": "614-257-5631",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SULLIVAN",
"first_name": "ERIC",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-22",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "6956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.