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DEUNDRA DENISE FULLER CPSS
NPI 1023641388
Peer Specialist in Waterford, MI

Active since February 14, 2020
279 SUMMIT DR, WATERFORD, MI 48328(248) 409-4139 Get Directions Write a Review

NPPES record last updated: February 14, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Deundra Denise Fuller Cpss NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEUNDRA DENISE FULLER CPSS (NPI 1023641388) is an individual peer specialist in Waterford, Michigan and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1023641388
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameDEUNDRA DENISE FULLERCredential: CPSS
Location Address279 SUMMIT DRWaterford, MI 48328-3364
Mailing Address279 Summit DrWaterford, MI 48328-3364 · (248) 409-4139
Phone(248) 409-4139
Sole ProprietorYes
Enumeration DateFebruary 14, 2020
✔ NPI 1023641388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

279 SUMMIT DR, Waterford, MI 48328
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Other Identifiers 1

Medicaid175T00000XMI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMMUNITY NETWORK SERVICES
Exclusive Provider Organization
279 SUMMIT DR
WATERFORD, MI 48328
Oakland County (248) 745-4900
ANITA MCCANN RN
Registered Nurse (Case Management)
279 SUMMIT DR
WATERFORD, MI 48328
Oakland County (248) 745-4900
DOSYNG YOON MD
Psychiatry & Neurology (Psychiatry)
279 SUMMIT DR
WATERFORD, MI 48328
Oakland County (248) 922-9077
MRS. COURTNEY ELIZABETH PALADINO
Social Worker (Clinical)
279 SUMMIT DR
WATERFORD, MI 48328
Oakland County (248) 409-4165
ALYSHIA MAGEE BS, MED
Case Manager/Care Coordinator
279 SUMMIT DR
WATERFORD, MI 48328
Oakland County (248) 745-4900
BARBARA ANN HAYWOOD LLBSW
Social Worker
279 SUMMIT DR
WATERFORD, MI 48328
Oakland County (248) 745-4900
MARK ANTHONY MITCHELL MSW
Social Worker
279 SUMMIT DR
WATERFORD, MI 48328
Oakland County (248) 745-4900
AMY STERN LMSW
Social Worker
279 SUMMIT DR
WATERFORD, MI 48328
Oakland County (248) 409-4155

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deundra Fuller's NPI number?

The NPI number for Deundra Fuller is 1023641388. It was assigned to this individual provider in the NPPES registry on February 14, 2020.

Where is Deundra Fuller located?

Deundra Fuller practices at 279 Summit Dr, Waterford, MI 48328. The listed phone number is (248) 409-4139.

What is Deundra Fuller's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Deundra Fuller was last updated on February 14, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.