Cynthia Luck Sullivan, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

0810002968 Issued in VA

Practice address

3020 Hamaker CT Ste 103
Fairfax, VA 22031-2220

Phone

(703) 876-0966

NPI assigned

Aug 24, 2006

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

Other names 1

• Cynthia Luck D'Armand Former name

Medicare fee-for-service enrollment

Enrolled in DC

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neuropsychology Associates of Fairfax Virginia LLCGroup PAC ID 5597171611, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Neuropsychology Associates of Fairfax Virginia LLC

  • Clinical Neuropsychologist
  • Fairfax, VA
  • NPI 1679177224

  DC

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1801903000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3338 CONQUISTADOR CT",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220031116",
            "telephone_number": "703-851-7109",
            "fax_number": "202-745-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 HAMAKER CT STE 103",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312220",
            "telephone_number": "703-876-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "CYNTHIA",
        "middle_name": "LUCK",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "VA",
            "license": "0810002968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "D'ARMAND",
            "middle_name": "LUCK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maggie Puri Sukhwani, OD
• Ashley Sukoff
• Michelle Sullivan-Gast, PSY.D.
• Anna C Sullivan, LCSW
• Brittany Sullivan, DPT
• Elixabeth Laskurain Sullivan, M.D.
• James Keith Sullivan, FNP
• Leah Madeline Sullivan
• Linda S Sullivan, NP
• Lisa Ann Sullivan, NP

• Clinical Neuropsychologist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Clinical Neuropsychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.