Kathryn Sullivan, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

60 E 42ND St FL 46
New York, NY 10165-0043

Phone

(914) 365-7755

NPI assigned

Nov 21, 2022

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 May 2, 2025 through May 2, 2027

Medicare enrollment (NPD)

Not 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.

• Cognitive and Behavioral Consultants

  • Psychologist
  • White Plains, NY
  • NPI 1770120685
  NPD (past)

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1942919774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 E 42ND ST FL 46",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101650043",
            "telephone_number": "914-365-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 E 42ND ST FL 46",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101650043",
            "telephone_number": "914-365-7755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 E 59th St Fl 23",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100221330",
            "country_code": "US",
            "telephone_number": "914-365-7755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "KATHRYN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Kenneth Sullivan
• Julia Elizabeth Sullivan, WHNP
• Karen Elizabeth Sullivan, M.S., CCC-SLP
• Katherine Sullivan, PMHNP
• Katherine Anne Sullivan, PH.D.
• Kayla Sullivan
• Kendall Julia Sullivan, LMSW
• Kevin M Sullivan, M.D.
• Lakeasha Garner Sullivan, PH.D.
• Lawrence Sullivan, NCPSYA

• Psychologist in New York, NY
• Providers in New York, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.