Mae Colleen Sullivan, MS

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

A01065 Issued in MD

Practice address

3 Talbott Ave Ste 100
Timonium, MD 21093-2329

Phone

(410) 205-4928

NPI assigned

Jun 24, 2025

Last updated

Jun 24, 2025By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Maryland Parent Child Clinic, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cockeysville, MD
  • NPI 1720664097
  NPD

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

{
    "created_epoch": "1750723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1902794613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 HAMPDEN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112920",
            "telephone_number": "301-520-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 TALBOTT AVE STE 100",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932329",
            "telephone_number": "410-205-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MAE",
        "middle_name": "COLLEEN",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "A01065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Strachan
• Susan Farber Straus, PH.D.
• Striations Fitness Sports Medicine and Occupational Therapy, LLC
• Brooks Stroman, LGPC
• Stuart J Gordon, MD, PA
• Lindsey Suter
• Thomas Joseph Swauger, DDS
• Melanie L Sweet, LCPC
• Lisa M Swords, CRNP-PMH
• Synergy Medical Group

• Clinical Psychologist in Timonium, MD
• Providers in Timonium, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.