DR. BRYCE FREDERICK SULLIVAN (PH.D.) – Clinical Psychologist, NPI 1093886236

DR. BRYCE FREDERICK SULLIVAN (PH.D.) is a healthcare provider. based in Edwardsville, Illinois. specializing in Clinical Psychologist. They hold the professional credentials PH.D.. They hold a License No. 2000159809 (MO). The NPI Number for DR. BRYCE FREDERICK SULLIVAN (PH.D.) is 1093886236

Main info

Male
Name
DR. BRYCE FREDERICK SULLIVAN (PH.D.)
NPI
1093886236
Phone
(618) 659-8787
Address
910 N MAIN ST
Enumeration Date
10 November 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. BRYCE FREDERICK SULLIVAN (PH.D.)

  • 910, North Main Street, Edwardsville, Madison County, Illinois, 62025, United States

    EDWARDSVILLE, IL 620251116

    Phone: (618) 659-8787

    Type: Location

  • 516, North Kansas Street, Edwardsville, Madison County, Illinois, 62025, United States

    EDWARDSVILLE, IL 620251137

    Phone: (618) 659-8787

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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Insurance plans in this area (ZIP 62025)

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Frequently asked questions

What is the 10-digit NPI for DR. BRYCE FREDERICK SULLIVAN (PH.D.)?
DR. BRYCE FREDERICK SULLIVAN (PH.D.) — NPI 1093886236 — is the standard way to identify this listing.
Is DR. BRYCE FREDERICK SULLIVAN (PH.D.) still practicing?
DR. BRYCE FREDERICK SULLIVAN (PH.D.) is currently listed as active in the public NPI registry.
What is DR. BRYCE FREDERICK SULLIVAN (PH.D.)'s specialty?
The listing groups DR. BRYCE FREDERICK SULLIVAN (PH.D.) with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where is DR. BRYCE FREDERICK SULLIVAN (PH.D.) based?
DR. BRYCE FREDERICK SULLIVAN (PH.D.) is tied to Edwardsville, Illinois in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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