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

Dr. Matthew Conor Sullivan, PHD

Individual provider Psychologist · NPI 1376164012

Dr. Matthew Conor Sullivan, PHD is a Clinical Psychologist in Boston, Massachusetts. Qualified in 2021, 5 years ago. Practices with Massachusetts General Physicians Organization Inc, a 3,484-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
5
In the registry since
2020
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

55 Fruit St
Boston, MA 02114-2696
Phone: (617) 724-6300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1376164012
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedMay 5, 2020
Last updated in NPPESSeptember 20, 2022
Certification dateSeptember 20, 2022
Mailing address1 Bowdoin Sq Ste 701, Boston, MA 02114-2927

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Massachusetts General Physicians Organization Inc — 3484 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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