Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1235469180 Individual Practitioner Female Practitioner

Dr. Susan Sullivan , PhD

Psychologist • Cocoa, FL

Professional Overview & Biography Verified Profile Summary

Dr. Susan Sullivan, PhD is a registered healthcare professional specializing in Psychologist in Cocoa, FL. Practice services are available at 1970 MICHIGAN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1970 Michigan Ave
Bldg. C-1

Cocoa, FL 329225758

Telephone 3212091871
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Cocoa, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
4 Specialists

Practicing in Cocoa, FL (2327 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License FL PY8490

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Nancy Mackay , PsyD

Psychologist - Clinical

NPI 1134183569

Doctor of Psychology (Psy.D.)

Holly Champa , LMHC

Counselor - Mental Health

NPI 1215990197

Licensed Mental Health Counselor

Dr. Caroline Griffin , ARNP, PMHNP, FNP DNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1548686439

Advanced Registered Nurse Practitioner, Psychiatric-Mental Health Nurse Practitioner, FNPDNP

Gary Burnham , LCSW

Social Worker - Clinical

NPI 1760446215

Licensed Clinical Social Worker

Claire Boland , LMHC

Counselor - Mental Health

NPI 1821039421

Licensed Mental Health Counselor

Dr. Aaron Privett , PsyD

Psychologist - Clinical

NPI 1821468117

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 22, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location January 22, 2013

Registered at 1970 MICHIGAN AVE, BLDG. C-1, COCOA, FL 329225758 (Tel: 3212091871)

📍
Updated Business Mailing Address January 22, 2013

Registered at 801 SE JOHNSON AVE, #138, STUART, FL 349955001 (Tel: 7723491871)

👤
Provider Name / Credentials Updated January 22, 2013

Recorded as SUSAN SULLIVAN, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2013

Psychologist (License #PY8490 in FL)

🟢
Initial NPI Registration & Enumeration December 28, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235469180
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 28, 2009
Last Update: January 22, 2013
Sole Proprietor: No

Mailing Address

801 Se Johnson Ave, #138

Stuart, FL 349955001

Phone: 7723491871

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.