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

Dr. Kelly Marie Sullivan, PHD

Individual provider Psychologist · NPI 1639224025

Dr. Kelly Marie Sullivan, PHD is a Clinical Psychologist in Durham, North Carolina. Graduated from University of North Carolina at Chapel Hill School of Medicine in 2005, 21 years ago. Accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
21
Trained at
University of North Carolina at Chapel Hill School of Medicine
Licensed in
NC
In the registry since
2007
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

1121 W Chapel Hill St Ste 100
Durham, NC 27701-3080
Phone: (919) 385-0733
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 3498 (NC)

Record details

NPI number1639224025
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJanuary 24, 2007
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolUNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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