Mary Ellen O'Sullivan, ED.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3256 Issued in MA

Practice address

10 Adams St
Suite 2
North Chelmsford, MA 01863-1746

Phone

(978) 251-7337

Fax

(978) 251-8453

NPI assigned

Dec 4, 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

Medicare fee-for-service enrollment

Enrolled in MA

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, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319241600000",
    "number": "1952469884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ADAMS ST",
            "address_2": "SUITE 2",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018631746",
            "telephone_number": "978-251-7337",
            "fax_number": "978-251-8453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ADAMS ST",
            "address_2": "SUITE 2",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018631746",
            "telephone_number": "978-251-7337",
            "fax_number": "978-251-8453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SULLIVAN",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2011-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "3256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milika Njeri Njenga, RN
• Daniel Njogu, LPN
• Ruth Njoroge
• Emily Ann Nolan, NP
• North Chelmsford Physical Therapy, LLC
• Oasis Behavioral Health LLC (Chelmsford Behavioral Health LLC)
• Open Door Healthcare Services, Inc
• Orthopaedic Surgical Associates of Lowell, P.C.
• Laurie Ann Pabreza, FNPBC
• Mike Paintsil

• Clinical Psychologist in North Chelmsford, MA
• Providers in North Chelmsford, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2011; 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.