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

Dr. Glenn R Sullivan, PHD

Individual provider Clinical Psychologist · NPI 1871764779

Dr. Glenn R Sullivan, PHD is a Clinical Psychologist in Lexington, Virginia. Qualified in 2005, 21 years ago. Works from 3 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
21
Licensed in
VA
In the registry since
2008
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

30 Crossing Ln Ste 101
Lexington, VA 24450-6354
Phone: (540) 463-2080
Fax: (540) 464-7648
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 108 Houston St Ste D, Lexington, VA 24450-2455 — (540) 463-2080
  • 6 E Washington St, Lexington, VA 24450-2562 — (540) 464-7474

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 0810003867 (VA)

Record details

NPI number1871764779
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedMarch 18, 2008
Last updated in NPPESMarch 19, 2018
Mailing address106 Colston Pl, Lexington, VA 24450-1812

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lexington