KELLY LYNN FULLER
NPI 1033827308
Counselor - Mental Health in Bloomingdale, NY

Q: What is Kelly Fuller's NPI number?

The NPI number for Kelly Fuller is 1033827308. It was assigned to this individual provider in the NPPES registry on November 7, 2022.

Q: What is Kelly Fuller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Fuller was last updated on November 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 07, 2022

755 COLD BROOK RD, BLOOMINGDALE, NY 12913(518) 637-4112 Get Directions Write a Review

NPPES record last updated: November 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelly Lynn Fuller NPPES

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

KELLY LYNN FULLER (NPI 1033827308) is an individual mental health provider in Bloomingdale, New York, licensed in New York (P118325) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1033827308

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKELLY LYNN FULLER

Location Address755 COLD BROOK RDBloomingdale, NY 12913-2415

Mailing Address755 Cold Brook RdBloomingdale, NY 12913-2415 · (518) 637-4112

Phone(518) 637-4112

Sole ProprietorNo

Enumeration DateNovember 7, 2022

NPPES CertifiedNovember 7, 2022

✔ NPI 1033827308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NY · P118325

755 COLD BROOK RD, Bloomingdale, NY 12913

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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 Kelly Fuller's NPI number?

The NPI number for Kelly Fuller is 1033827308. It was assigned to this individual provider in the NPPES registry on November 7, 2022.

Where is Kelly Fuller located?

Kelly Fuller practices at 755 Cold Brook Rd, Bloomingdale, NY 12913. The listed phone number is (518) 637-4112.

What is Kelly Fuller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kelly Fuller was last updated on November 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.