Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anthony Michael Sullivan, PSYD

Individual provider Professional Counselor · NPI 1245362615

Anthony Michael Sullivan, PSYD is a Clinical Psychologist in Canon City, Colorado. Qualified in 2004, 22 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
22
Licensed in
CO
In the registry since
2007
Specialties on file
3
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

3225 Independence Rd
Canon City, CO 81212-9380
Phone: (719) 275-2351
Fax: (719) 269-9386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 3490 (CO)
Professional Counselor Taxonomy 101YP2500X · Licence 2778 (CO)
Psychologist Taxonomy 103T00000X

Record details

NPI number1245362615
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedMarch 12, 2007
Last updated in NPPESJuly 29, 2020
Certification dateJuly 29, 2020
Mailing address3225 Independence Rd, Canon City, CO 81212-9380

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Canon City