Jeremy Sullivan, PSY.D
NPI 1043441306 · Clinical Psychologist · North Adams, MA
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jeremy Sullivan, PSY.D is a Clinical Psychologist provider in North Adams, MA (NPI 1043441306).
Provider details
- NPI number
- 1043441306
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D
- Sex
- Male
- Sole proprietor
- Yes
- License
- 04800000878 (VT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-08-05
- Last updated
- 2025-05-05
- Certified
- 2025-05-05
Frequently asked questions
- What is Jeremy Sullivan's NPI number?
- Jeremy Sullivan's National Provider Identifier (NPI) is 1043441306, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeremy Sullivan's specialty?
- Jeremy Sullivan is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Jeremy Sullivan located?
- Jeremy Sullivan's practice location on file with NPPES is 77 Hospital Ave Ste 214, North Adams, MA 01247-2538.
- What is Jeremy Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Jeremy Sullivan is (413) 398-5064.
- Does Jeremy Sullivan accept Medicare?
- Jeremy Sullivan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jeremy Sullivan's NPI active?
- Yes — Jeremy Sullivan's NPI (1043441306) is active in the NPPES registry as of the last update on 2025-05-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.