Active NPIIndividual provider

Dr. Sara Sullivan, PHD

Clinical Neuropsychologist in Bedford, Massachusetts

NPI Number1265913503
Practice location
200 Springs RD, Bedford, MA 01730-1114
Fax
—
Last updated
January 7, 2026

Sara Sullivan is a Clinical Neuropsychologist based in Bedford, MA. Sara Sullivan practices in Bedford, MA and has the professional credentials of PHD. The NPI Number for Sara Sullivan is 1265913503 and holds a License No. PSY.0004856 (CO). The current practice location address for Sara Sullivan is 200 Springs RD, Bedford, MA 01730-1114 and can be reached out via phone at 781-687-2000.

Provider Profile Details

NPI Number
1265913503
Provider Name
Sara Sullivan
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
200 Springs RD, Bedford, MA 01730-1114
Phone Number
781-687-2000
Primary Taxonomy
Clinical Neuropsychologist · 103G00000X
Sole Proprietor
No
Provider Enumeration Date
August 24, 2018
Last Update Date
January 7, 2026
Certification Date
January 7, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Springs RD
Bedford, MA 01730-1114
Zip
01730-1114
Phone Number
781-687-2000
Bedford, MA 01730Get directions →

Provider Business Mailing Address Details

Address
200 Springs RD Bldg 5
Bedford, MA 01730-1114
City
Bedford
State
MA
Zip
01730-1114
Phone Number
781-687-3042

License Information

License Number (1)
PSY.0004856
License State (1)
CO
Taxonomy (1)
Clinical Neuropsychologist · 103G00000X · Primary
License Number (2)
PSY.0004856
License State (2)
CO
Taxonomy (2)
Psychologist, Clinical · 103TC0700X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Sara Sullivan, PHD?

The NPI number of Dr. Sara Sullivan, PHD is 1265913503. It was assigned on August 24, 2018 and is currently active in the NPPES registry.

What is the specialty of Dr. Sara Sullivan, PHD?

Dr. Sara Sullivan, PHD is registered under the primary taxonomy Clinical Neuropsychologist (code 103G00000X), licensed in CO under license number PSY.0004856.

Where does Dr. Sara Sullivan, PHD practice?

The practice location is 200 Springs RD, Bedford, MA 01730-1114. The office can be reached at 781-687-2000 (phone).

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 1265913503 directly on the NPPES registry website.

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