DR. GLINDA MAE SULLIVAN (PSYD) – Clinical Psychologist, NPI 1679793897

DR. GLINDA MAE SULLIVAN (PSYD) is a healthcare provider. based in Chesterfield, Missouri. specializing in Clinical Psychologist. They hold the professional credentials PSYD. They hold a License No. 2004024741 (MO). The NPI Number for DR. GLINDA MAE SULLIVAN (PSYD) is 1679793897

Main info

Female
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. GLINDA MAE SULLIVAN (PSYD)
NPI
1679793897
Phone
(573) 528-7569
Address
106 4 SEASONS CTR
Enumeration Date
27 April 2007
Last Update Date
23 July 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6363009922
Graduation Year
1992 (34 years ago)
PAC ID
0648362517
Group Practice PAC ID
7719952605
Professional Enrollment ID
I20070823000055
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for DR. GLINDA MAE SULLIVAN (PSYD)

  • 106 4 SEASONS CTR

    SUITE 106C

    CHESTERFIELD, MO 630173173

    Phone: (573) 528-7569

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63017)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719952605View full group profile
NameSpecialtyState
Clinical PsychologistMO
Clinical Psychologist, Clinical Social WorkerMO
Clinical PsychologistMO
Clinical PsychologistMO

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Frequently asked questions

Where can patients find DR. GLINDA MAE SULLIVAN (PSYD)'s NPI?
You can confirm DR. GLINDA MAE SULLIVAN (PSYD) with NPI 1679793897; it appears in the national provider directory.
Is DR. GLINDA MAE SULLIVAN (PSYD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. GLINDA MAE SULLIVAN (PSYD) treat or focus on?
Patients typically see DR. GLINDA MAE SULLIVAN (PSYD) under the specialty Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where is DR. GLINDA MAE SULLIVAN (PSYD)'s primary listing?
We display Chesterfield, Missouri because that is what the record indicates for DR. GLINDA MAE SULLIVAN (PSYD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.