Rita De-Haan Sullivan, PH.D
NPI 1417034794ActiveIndividual· Psychologist, Clinical· Medford, OR
Psychologist, Clinical (PH.D) in Medford, Oregon, licensed in OR, with an NPI issued in November 2006. Medicare paid $11,239 for services to 17 patients in 2024.
Overview
| NPI | 1417034794 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D |
| Sole proprietor | Yes |
| NPI issued | Nov 1, 2006 |
| Last updated in NPPES | May 11, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 965 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 17 |
|---|---|
| Services billed | 114 across 6 procedure codes |
| Paid by Medicare | $11,239 |
Education and affiliations
| Graduation year | 1985 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
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All 22 clinical psychologists in Medford · All clinical psychologists in Oregon