Richard Sullivan, PHD - Psychologist in Bloomington, MN

Richard Sullivan, PHD is a Psychologist based in Bloomington, Minnesota. Richard Sullivan is licensed to practice in Minnesota (license number LP4326) and his current practice location is 7920 Old Cedar Ave S, Bloomington, Minnesota. He can be reached at his office (for appointments etc.) via phone at (952) 851-1000.

NPI number for Richard Sullivan is 1912932468 and his current mailing address is 1021 Bandana Blvd E, Suite 200, Saint Paul, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912932468.

Contact Information

Richard Sullivan, PHD
7920 Old Cedar Ave S,
Bloomington, MN 55425-1207
(952) 851-1000
(952) 851-1092

Map and Direction




Healthcare Provider's Profile

Full NameRichard Sullivan
GenderMale
SpecialityPsychologist
Location7920 Old Cedar Ave S, Bloomington, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1912932468
  • Provider Enumeration Date: 07/12/2006
  • Last Update Date: 03/11/2021

Medical Identifiers

Medical identifiers for Richard Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912932468NPI-NPPES
459093700MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist LP4326 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Richard Sullivan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Richard Sullivan, PHD
1021 Bandana Blvd E, Suite 200,
Saint Paul, MN 55108-5113

Ph: (651) 642-2700
Richard Sullivan, PHD
7920 Old Cedar Ave S,
Bloomington, MN 55425-1207

Ph: (952) 851-1000

Reviews and Comments


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