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

Dr. Jean Sullivan, PHD

Individual provider Clinical Psychologist · NPI 1417928227

Dr. Jean Sullivan, PHD is a Clinical Psychologist in Escondido, California. Qualified in 2003, 23 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Alabama and California.

Years since qualifying
23
Licensed in
AL, CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

210 S Juniper St Ste 205
Escondido, CA 92025-4229
Phone: (858) 381-5725
Fax: (858) 433-4100
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 24238 (CA)
Clinical Psychologist Taxonomy 103TC0700X · Licence 1255 (AL)

Record details

NPI number1417928227
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedJanuary 30, 2006
Last updated in NPPESAugust 1, 2011
Mailing address7564 Windy Ridge Rd, San Diego, CA 92126-8002

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Escondido