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

Dr. Maura D. Sullivan, PSYD

Individual provider Clinical Psychologist · NPI 1639110273

Dr. Maura D. Sullivan, PSYD is a Clinical Psychologist in Portland, Oregon. Qualified in 2002, 24 years ago. Accepts Medicare assignment and offers telehealth. Licensed in New Hampshire.

Years since qualifying
24
Licensed in
NH
In the registry since
2006
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

3583 NE Broadway St
Portland, OR 97232-1820
Phone: (503) 432-8470
Fax: (503) 912-7018
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 1012 (NH)

Record details

NPI number1639110273
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedJune 8, 2006
Last updated in NPPESJanuary 23, 2024
Certification dateJanuary 23, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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