Dr. Jillian E Sullivan
Health Psychologist Clinical Psychologist Counseling Psychologist
3000 S State Road 135 Suite 230
Greenwood
, Indiana 46143-9607
Dr. Jillian E Sullivan
Health Psychologist Clinical Psychologist Counseling Psychologist
3000 S State Road 135 Suite 230
Greenwood
, Indiana 46143-9607
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About
Features
Specialties
- Clinical Psychologist
- Counseling Psychologist
- Health Psychologist
Languages spoken
- English
Location
First Address
- Dr. Jillian E Sullivan
- 6626 E 75th Street Suite 500
- Indianapolis, IN
- Zip : 46250-2890
- Phone :
Second Address
- Dr. Jillian E Sullivan
- 3000 S State Road 135 Suite 230
- Greenwood, IN
- Zip : 46143-9607
- Phone : (317) 535-0728
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103G00000X | Clinical Psychologist | 20042704A | IN |
| N | 103TC0700X | Clinical Psychologist | 20042704A | IN |
| N | 103TC1900X | Counseling Psychologist | 20042704A | IN |
| Y | 103TH0004X | Health Psychologist | 20042704A | IN |
National Provider Identifier
| NPI | 1114357506 |
|---|---|
| Provider Name | Dr. Jillian E Sullivan |
| First Address | Indianapolis, IN 46250-2890 |
| Second Address | Greenwood, IN 46143-9607 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/11/2013 |
| Last Update Date | 08/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000850729 | ANTHEM BCBS (01) | IN |
| P01569147 | RAILROAD PTAN (01) | IN |
| P01569147 | RR MEDICARE (01) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.