LISA WORDEN SULLIVAN PH.D.
NPI 1750662680
Psychologist - Counseling in Stamford, CT
NPI Status: Active since September 06, 2011
Contact Information
1177 HIGH RIDGE RD
STAMFORD, CT
ZIP 06905
Phone: (203) 609-5692
Fax: (203) 569-9747
- Individual
- Female
- Psychologist
- Counseling
- PECOS Enrolled
About LISA SULLIVAN
This page provides the complete NPI Profile along with additional information for Lisa Sullivan, a provider established in Stamford, Connecticut with a medical specialization in Psychologist, focusing in counseling . The healthcare provider is registered in the NPI registry with number 1750662680 assigned on September 2011. The practitioner's primary taxonomy code is 103TC1900X with license number 003117 (CT). The provider is registered as an individual and her NPI record was last updated 10 years ago.
- NPI
- 1750662680
- Provider Name
- LISA WORDEN SULLIVAN PH.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1177 HIGH RIDGE RD STAMFORD, CT 06905
- Location Phone
- (203) 609-5692
- Location Fax
- (203) 569-9747
- Mailing Address
- 1177 HIGH RIDGE RD STAMFORD, CT 06905
- Mailing Phone
- (203) 609-5692
- Mailing Fax
- (203) 569-9747
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-06-2011
- Last Update Date
- 04-17-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Counseling
- Taxonomy Code
- 103TC1900X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 003117
- License State
- CT
- Taxonomy Description
- A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
Medicare Participation & PECOS Enrollment Status
Lisa Sullivan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 6 | 6 | 2 | 6 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 12 | 6 | 4 | 6 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 2 + 6 + 4 + 6 + 1 + 6 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1750662680 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1588898233 | DR. REID JOSEPH DAITZMAN PH.D. Individual | Psychologist (Cognitive & Behavioral) | 1177 HIGH RIDGE RD 209 STAMFORD, CT 06905 (203) 322-1779 |
| 1255636635 | GENERAL PRIZE ONE CORP Organization | General Practice | 1177 HIGH RIDGE RD STAMFORD, CT 06905 (203) 321-2158 |
| 1265721195 | MENDIM ZHUTA LMFT Individual | Marriage & Family Therapist | 1177 HIGH RIDGE RD SUITE #120 STAMFORD, CT 06905 (203) 318-4438 |
| 1225327505 | KPO HOLDINGS, INC Organization | In Home Supportive Care | 1177 HIGH RIDGE RD STAMFORD, CT 06905 (203) 321-1212 |
| 1851688899 | MRS. ALEJANDRA HOCHSTEDLER-STIPO MS,LPC Individual | Counselor (Professional) | 1177 HIGH RIDGE RD SUITE 239 STAMFORD, CT 06905 (120) 364-1971 |
| 1982963013 | ZHUTA ENTERPRISES LTD LLC Organization | Marriage & Family Therapist | 1177 HIGH RIDGE RD #120 STAMFORD, CT 06905 (203) 525-6496 |
| 1104339563 | AKB HOLDINGS, LLC Organization | In Home Supportive Care | 1177 HIGH RIDGE RD STAMFORD, CT 06905 (203) 274-2747 |
| 1245714096 | PAMELA TINKHAM LLC Organization | Clinic/Center (Adult Mental Health) | 1177 HIGH RIDGE RD STAMFORD, CT 06905 (203) 979-7819 |
| 1013563295 | CONNECTICUT ANESTHESIA ASSOCIATES LLC Organization | Anesthesiology | 1177 HIGH RIDGE RD STAMFORD, CT 06905 (323) 417-0335 |
| 1710552898 | AUDREY BRENYA Individual | Homemaker | 1177 HIGH RIDGE RD STAMFORD, CT 06905 (203) 274-2747 |
| 1669144036 | POTOMAC HEALTH MEDICAL OF NY PC Organization | Orthopaedic Surgery | 1177 HIGH RIDGE RD STAMFORD, CT 06905 (860) 282-0833 |
| 1447858709 | POTOMAC HEALTH PC Organization | Orthopaedic Surgery | 1177 HIGH RIDGE RD STAMFORD, CT 06905 (860) 558-7027 |
| 1245947134 | POTOMAC HEALTH OF WASHINGTON PC Organization | Orthopaedic Surgery | 1177 HIGH RIDGE RD STAMFORD, CT 06905 (201) 834-4786 |
| 1558088815 | POTOMAC HEALTH OF COLORADO PC Organization | Orthopaedic Surgery | 1177 HIGH RIDGE RD STAMFORD, CT 06905 (201) 834-4786 |
| 1033828611 | POTOMAC HEALTH OF ARKANSAS PC Organization | Orthopaedic Surgery | 1177 HIGH RIDGE RD STAMFORD, CT 06905 (201) 834-4786 |
| 1083322135 | POTOMAC HEALTH OF WISCONSIN PC Organization | Orthopaedic Surgery | 1177 HIGH RIDGE RD STAMFORD, CT 06905 (201) 834-4786 |
| 1083323679 | POTOMAC HEALTH OF PENNSYLVANIA PC Organization | Orthopaedic Surgery | 1177 HIGH RIDGE RD STAMFORD, CT 06905 (201) 834-4786 |
| 1154039212 | POTOMAC HEALTH OF MASSACHUSETTS PC Organization | Orthopaedic Surgery | 1177 HIGH RIDGE RD STAMFORD, CT 06905 (201) 834-4786 |
| 1497465637 | POTOMAC HEALTH OF KANSAS PC Organization | Orthopaedic Surgery | 1177 HIGH RIDGE RD STAMFORD, CT 06905 (201) 834-4786 |
| 1518676196 | POTOMAC HEALTH OF IOWA PC Organization | Orthopaedic Surgery | 1177 HIGH RIDGE RD STAMFORD, CT 06905 (201) 834-4786 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750662680, enumerated in the NPI registry as an "individual" on September 06, 2011
The provider is located at 1177 High Ridge Rd Stamford, Ct 06905 and the phone number is (203) 609-5692
The provider's speciality is Psychologist with taxonomy code 103TC1900X with a focus in Counseling
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on September 06, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.