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DR. KAYLEEN M FULLER PH.D.
NPI 1073552402
Psychologist - Clinical in Sandy, UT

Active since June 04, 2006PECOS EnrolledAccepts Medicare Assignment
8706 S 700 E STE 103, SANDY, UT 84070(801) 652-2720(801) 606-7738 Get Directions Write a Review

NPPES record last updated: April 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kayleen M Fuller Ph.d. NPPES

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

DR. KAYLEEN M FULLER PH.D. (NPI 1073552402) is an individual clinical provider in Sandy, Utah, licensed in Utah (200419-2501) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Slc, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1073552402
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KAYLEEN M FULLERCredential: PH.D.
Location Address8706 S 700 E STE 103Sandy, UT 84070-1808
Mailing Address8706 S 700 E Ste 103Sandy, UT 84070-1808 · (801) 652-2720 · Fax (801) 606-7738
Phone(801) 652-2720
Fax(801) 606-7738
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJune 4, 2006
Last NPPES UpdateApril 18, 2019
✔ NPI 1073552402 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 UT · 200419-2501
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.
8706 S 700 E STE 103, Sandy, UT 84070
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Secondary Practice Location 1

Location 12666 S 2000 E Ste 101Slc, UT 84109-1721 · Phone (801) 652-2720 · Fax (801) 606-7738

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kayleen M Fuller Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628132750
PECOS Enrollment IDI20090204000056
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84070 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.03 typical visit price
range $54.34 – $166.03
Typical copayment $41.50 (range $13.58 – $41.50)
Most-billed visit code 99205
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

CALM MIND, INC.
Psychologist (Clinical)
8706 S 700 E STE 103
SANDY, UT 84070
Salt Lake County (801) 652-2720

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 Kayleen Fuller's NPI number?

The NPI number for Kayleen Fuller is 1073552402. It was assigned to this individual provider in the NPPES registry on June 4, 2006.

Where is Kayleen Fuller located?

Kayleen Fuller practices at 8706 S 700 E Ste 103, Sandy, UT 84070. The listed phone number is (801) 652-2720.

What is Kayleen Fuller's specialty?

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

Is Kayleen Fuller enrolled in Medicare?

Yes. Kayleen Fuller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kayleen Fuller accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Kayleen Fuller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kayleen Fuller was last updated on April 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.