William Edward Sullivan, PHD
NPI 1568956894ActiveIndividual· Psychologist· Syracuse, NY
Psychologist (PHD) with Pediatric Service Group, practicing in Syracuse, New York. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1568956894 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Jun 20, 2018 |
| Last updated in NPPES | Jun 20, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | P08881 | NY |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | — | — |
| Psychologist, School | 103TS0200X | — | — |
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 (NY) |
|---|
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Pediatric Service GroupSyracuse, NY · 12 clinicians
Other Psychologist providers in Syracuse
- 1114683349
- 1144650656
- 1326593849
- 1912310632
- 1396451365
- 1376554980
- 1750881553
- 1730962515
- 1376661108
- 1548068877
- 1912505967
- 1376056846