Karen Dorothy Sullivan, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

4151 Issued in NC

Practice address

101 Manning Dr CB 7200
Chapel Hill, NC 27599-4817

Phone

(919) 966-9868

Fax

(919) 966-0083

NPI assigned

May 31, 2011

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

Opted out of Medicare

Yes, effective Jan 1, 2026 through Jan 1, 2028

Specialty

Clinical Psychologist

Education

Boston University School of Medicine, 2009

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

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.

• Gabriele Jones, PHD, PA

  • Clinical Psychologist
  • Pinehurst, NC
  • NPI 1588911184
  NPD (past)
• Jennifer a. Hanley, DNP, PA

  • Psychiatric/Mental Health Nurse Practitioner
  • Pinehurst, NC
  • NPI 1720335326
  NPD (past)

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344211200000",
    "number": "1871887562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 OLD GREENSBORO RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275164817",
            "telephone_number": "919-619-1772",
            "fax_number": "919-966-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MANNING DR CB 7200",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275994817",
            "telephone_number": "919-966-9868",
            "fax_number": "919-966-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "KAREN",
        "middle_name": "DOROTHY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-31",
        "last_updated": "2012-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NC",
            "license": "4151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taiseer Sulaiman, BDS
• William D. Sulik, D.D,S., M.S.
• Sama Suliman
• Renee Sullender, MD, MPH
• Juliana B Sullivan, DO
• Katherine Sullivan, LPCA
• Patrick Francis Sullivan, MD
• Robert Sullivan, MD
• Cameron Tyler Sulya
• Ruth Christine Sulzer, DDS

• Clinical Neuropsychologist in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Clinical Neuropsychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• 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.