Teri Rae Sullivan, PHD - Psychologist in Overland Park, KS

Teri Rae Sullivan, PHD is a Psychologist - Clinical based in Overland Park, Kansas. Teri Rae Sullivan is licensed to practice in Kansas (license number KS0442) and her current practice location is 7180 W 107th St, Suite 20, Overland Park, Kansas. She can be reached at her office (for appointments etc.) via phone at (913) 341-5700.

NPI number for Teri Rae Sullivan is 1023050168 and her current mailing address is 7180 W 107th St, Suite 20, Overland Park, Kansas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023050168.

Contact Information

Teri Rae Sullivan, PHD
7180 W 107th St, Suite 20,
Overland Park, KS 66212-2523
(913) 341-5700
(913) 341-5750



Healthcare Provider's Profile

Full NameTeri Rae Sullivan
GenderFemale
SpecialityPsychologist - Clinical
Location7180 W 107th St, Overland Park, Kansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023050168
  • Provider Enumeration Date: 06/12/2006
  • Last Update Date: 01/17/2008

Medical Identifiers

Medical identifiers for Teri Rae Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023050168NPI-NPPES
SUS71097MedicaidKS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical KS0442 (Kansas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Teri Rae Sullivan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Teri Rae Sullivan, PHD
7180 W 107th St, Suite 20,
Overland Park, KS 66212-2523

Ph: (913) 341-5700
Teri Rae Sullivan, PHD
7180 W 107th St, Suite 20,
Overland Park, KS 66212-2523

Ph: (913) 341-5700

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› Verified 2 days ago


Psychologist in Overland Park, KS

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