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

Dr. Kimberly Sullivan, PSYD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1497034938

Dr. Kimberly Sullivan, PSYD is a Student in an Organized Health Care Education/Training Program in Phoenix, Arizona. Practices as a sole proprietor and works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2011
Specialties on file
2
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

650 E Indian School Rd
Phoenix, AZ 85012-1839
Phone: (602) 277-5551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 W. Carson St., Torrance, CA 90509 — (480) 686-4507

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY-004332 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1497034938
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedAugust 16, 2011
Last updated in NPPESJuly 24, 2020
Certification dateJuly 24, 2020
Mailing address2727 E Shannon St, Gilbert, AZ 85295-5190

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