Dr. Jeremy R Sullivan, PSYD
Psychologist, Clinical in North Adams, Massachusetts
1043441306- Practice location
- 77 Hospital Ave Ste 214, North Adams, MA 01247-2538
- Phone
- 413-398-5064
- Fax
- 413-398-5496
- Last updated
- May 5, 2025
Jeremy Ray Sullivan is a Psychologist, Clinical based in North Adams, MA. Jeremy Ray Sullivan practices in North Adams, MA and has the professional credentials of PSYD. The NPI Number for Jeremy Ray Sullivan is 1043441306 and holds a License No. 04800000878 (VT). The current practice location address for Jeremy Ray Sullivan is 77 Hospital Ave Ste 214, North Adams, MA 01247-2538 and can be reached out via phone at 413-398-5064 and via fax at 413-398-5496.
Provider Profile Details
- NPI Number
- 1043441306
- Provider Name
- Jeremy Ray Sullivan
- Credential
- PSYD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 77 Hospital Ave Ste 214, North Adams, MA 01247-2538
- Phone Number
- 413-398-5064
- Fax Number
- 413-398-5496
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 5, 2009
- Last Update Date
- May 5, 2025
- Certification Date
- May 5, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 77 Hospital Ave Ste 214
North Adams, MA 01247-2538 - City
- North Adams
- State
- Massachusetts
- Zip
- 01247-2538
- Phone Number
- 413-398-5064
- Fax Number
- 413-398-5496
Provider Business Mailing Address Details
- Address
- 59 Maple St
North Adams, MA 01247-2828 - City
- North Adams
- State
- MA
- Zip
- 01247-2828
- Phone Number
- 413-347-6679
License Information
- License Number
- 04800000878
- License State
- VT
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologist, Clinical providers near North Adams, MA
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- Shannon Doyle, RNRegistered Nurse, Psych/Mental Health · NPI 1215835806
- Rebecca PerrasLicensed Practical Nurse · NPI 1144127267
- Mandy C Dean, RNRegistered Nurse · NPI 1679470892
- Keri A Lavish, OTR/LOccupational Therapist · NPI 1154054120
- Rafael AnyfiotisPhysical Therapy Assistant · NPI 1609434109
Frequently Asked Questions
What is the NPI number of Dr. Jeremy R Sullivan, PSYD?
The NPI number of Dr. Jeremy R Sullivan, PSYD is 1043441306. It was assigned on August 5, 2009 and is currently active in the NPPES registry.
What is the specialty of Dr. Jeremy R Sullivan, PSYD?
Dr. Jeremy R Sullivan, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in VT under license number 04800000878.
Where does Dr. Jeremy R Sullivan, PSYD practice?
The practice location is 77 Hospital Ave Ste 214, North Adams, MA 01247-2538. The office can be reached at 413-398-5064 (phone) or 413-398-5496 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043441306 directly on the NPPES registry website.