Robin Rachelle Osullivan, PSYD in Flagstaff, AZ - Medicare Psychologist Provider

Robin Rachelle Osullivan, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Flagstaff, Arizona. Her current practice location is 1120 W University Ave, Flagstaff, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 212-5761.

Robin Rachelle Osullivan is licensed to practice in Arizona (license number 005883) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1285136440.

Contact Information

	Robin Rachelle Osullivan, PSYD
	1120 W University Ave, Flagstaff, AZ 86001-2851
	(928) 212-5761
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Robin Rachelle Osullivan
Gender	Female
Speciality	Psychologist - Clinical
Location	1120 W University Ave, Flagstaff, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285136440
Provider Enumeration Date: 03/05/2018
Last Update Date: 07/01/2025

Medicare PECOS Information:

PECOS PAC ID: 2961932579
Enrollment ID: I20250212001545

Medical Identifiers

Medical identifiers for Robin Rachelle Osullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285136440	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	0810005942 (Virginia)	Secondary
103TC0700X	Psychologist - Clinical	005883 (Arizona)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Robin Rachelle Osullivan allows following entities to bill medicare on her behalf.

Entity Name	Thrive Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20180531001919

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. Robin Rachelle Osullivan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Robin Rachelle Osullivan, PSYD 1509 W Lil Ben Trl, Flagstaff, AZ 86005-7018 Ph: (808) 286-8224	Robin Rachelle Osullivan, PSYD 1120 W University Ave, Flagstaff, AZ 86001-2851 Ph: (928) 212-5761

Reviews and Comments

Psychologist in Flagstaff, AZ

Dr. Rielly Boyd, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1515 E Cedar Ave Ste E-2, Flagstaff, AZ 86004 Phone: 928-714-0010
Dr. Emily Craddock Thomas, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 930 N Switzer Canyon Dr, Flagstaff, AZ 86001 Phone: 928-224-9235
Tami Lorraine Young, PHD Psychologist Medicare: May Accept Medicare Assignments Practice Location: 421 N Humphreys St, Flagstaff, AZ 86001 Phone: 928-482-2323
Anya Ashley, LMHC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1500 E Cedar Ave Ste 56, Flagstaff, AZ 86004 Phone: 928-526-2968
Dr. Chris Gunn, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 222 N Verde St, Flagstaff, AZ 86001 Phone: 928-779-5118 Fax: 928-779-5118
Dr. John Blanchard Martin, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1215 N Beaver St, Flagstaff, AZ 86001 Phone: 928-773-2200 Fax: 928-773-2300
Belinda F.. Batie, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3285 E Sparrow Ave, Flagstaff, AZ 86004 Phone: 928-527-6163

Robin Rachelle Osullivan, PSYD - Medicare Psychologist in Flagstaff, AZ