Dr Bernard John Sullivan, PHD | |
10540 Marty St Ste 155, Overland Park, KS 66212-2654 | |
(913) 451-2843 | |
(913) 383-1088 |
Full Name | Dr Bernard John Sullivan |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 47 Years |
Location | 10540 Marty St Ste 155, Overland Park, Kansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528184306 | NPI | - | NPPES |
606084 | Other | KS | BLUE CROSS PROVIDER |
07571-01-0 | Other | MO | BLUE CROSS PROVIDER # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | LP-0436 (Kansas) | Primary |
Entity Name | Bernard J Sullivan Phd Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528183159 PECOS PAC ID: 0547369431 Enrollment ID: O20070618000266 |
Mailing Address | Practice Location Address |
---|---|
Dr Bernard John Sullivan, PHD 10540 Marty St Ste 155, Overland Park, KS 66212-2654 Ph: (913) 451-2843 | Dr Bernard John Sullivan, PHD 10540 Marty St Ste 155, Overland Park, KS 66212-2654 Ph: (913) 451-2843 |
Grace Katherine Peterson, LMLP-T Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7501 College Blvd Ste 250, Overland Park, KS 66210 Phone: 913-451-8550 | |
Megan B Bolch, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5808 W 110th St, Overland Park, KS 66211 Phone: 913-696-8000 Fax: 816-302-9939 | |
Dr. Laura M Scott, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 6310 W 74th St, Suite B, Overland Park, KS 66204 Phone: 913-432-7642 Fax: 913-432-6514 | |
Dr. Tonya L Miles, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 11011 King St, Suite 290, Overland Park, KS 66210 Phone: 913-642-3134 Fax: 888-334-4327 | |
Jillian Woodford Wasson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8700 Indian Creek Pkwy Ste 270, Overland Park, KS 66210 Phone: 908-246-1975 | |
Dr. Daryl Kerry Richey, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10000 Delmar Ln, Overland Park, KS 66207 Phone: 816-804-9261 Fax: 317-548-0351 | |
Teri Rae Sullivan, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7180 W 107th St, Suite 20, Overland Park, KS 66212 Phone: 913-341-5700 Fax: 913-341-5750 |