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DR. LINDSEY MARIE BACKER-FULGHUM PH.D.
NPI 1063938850
Psychologist - Clinical in Wichita, KS

Active since August 14, 2017Opted out of Medicare · through Apr 1, 2027
WICHITA STATE UNIVERSITY, COUNSELING & TESTING CENTER, 1845 FAIRMOUNT ST., WICHITA, KS 67260(573) 220-5628 Get Directions Write a Review

NPPES record last updated: August 14, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Lindsey Marie Backer-fulghum Ph.d. NPPES

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

DR. LINDSEY MARIE BACKER-FULGHUM PH.D. (NPI 1063938850) is an individual clinical provider in Wichita, Kansas, licensed in Kansas (T-LMLP2799) and active in the NPI registry since August 2017. She has opted out of Medicare through April 1, 2027.

NPPES Registry Identity

NPI1063938850
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LINDSEY MARIE BACKER-FULGHUMCredential: PH.D.
Location AddressWICHITA STATE UNIVERSITY, COUNSELING & TESTING CENTER, 1845 FAIRMOUNT ST.Wichita, KS 67260-0091
Mailing Address2117 S Prescott CtWichita, KS 67209-3230
Phone(573) 220-5628
Sole ProprietorYes
Enumeration DateAugust 14, 2017
✔ NPI 1063938850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in KS · T-LMLP2799
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
WICHITA STATE UNIVERSITY, COUNSELING & TESTING CENTER, Wichita, KS 67260
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Lindsey Marie Backer-fulghum Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2023 through April 1, 2027.

Opt-Out Effective DateApril 1, 2023
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Lindsey Backer-fulghum's NPI number?

The NPI number for Lindsey Backer-fulghum is 1063938850. It was assigned to this individual provider in the NPPES registry on August 14, 2017.

Where is Lindsey Backer-fulghum located?

Lindsey Backer-fulghum practices at Wichita State University, Counseling & Testing Center 1845 Fairmount St., Wichita, KS 67260. The listed phone number is (573) 220-5628.

What is Lindsey Backer-fulghum's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Lindsey Backer-fulghum enrolled in Medicare?

No. Lindsey Backer-fulghum has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Lindsey Backer-fulghum was last updated on August 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.