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

Individual provider Clinical Child & Adolescent Psychologist · NPI 1568956894

Dr. William Edward Sullivan, PHD is a Clinical Psychologist in Syracuse, New York. Qualified in 2017, 9 years ago. Practices with Pediatric Service Group, a 17-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2018
Specialties on file
3
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

600 E Genesee St
Syracuse, NY 13202-3130
Phone: (315) 464-3950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence P08881 (NY)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X
School Psychologist Taxonomy 103TS0200X

Record details

NPI number1568956894
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 20, 2018
Last updated in NPPESJune 20, 2018
Mailing address600 E Genesee St, Syracuse, NY 13202-3130

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Pediatric Service Group — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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