GERINA K FULLWOOD
NPI 1093585598
Counselor - Mental Health in Manchester, CT

Active since January 05, 2024
444 CENTER ST, MANCHESTER, CT 06040(860) 731-5522(860) 731-5536 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gerina K Fullwood NPPES

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

GERINA K FULLWOOD (NPI 1093585598) is an individual mental health provider in Manchester, Connecticut and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1093585598
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameGERINA K FULLWOOD
Location Address444 CENTER STManchester, CT 06040-3926
Mailing Address2 Waterside Xing Ste 401Windsor, CT 06095-1588 · (860) 731-5522 · Fax (860) 731-5536
Fax(860) 731-5536
Sole ProprietorNo
Enumeration DateJanuary 5, 2024
NPPES CertifiedJanuary 4, 2024
NPI 1093585598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
444 CENTER ST, Manchester, CT 06040

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.

Social Worker
444 CENTER ST
MANCHESTER, CT 06040
Social Worker (Clinical)
444 CENTER ST
MANCHESTER, CT 06040
Social Worker (Clinical)
444 CENTER ST
MANCHESTER, CT 06040
Counselor
444 CENTER ST
MANCHESTER, CT 06040
Counselor
444 CENTER ST
MANCHESTER, CT 06040
Counselor
444 CENTER ST
MANCHESTER, CT 06040
Counselor (Mental Health)
444 CENTER ST
MANCHESTER, CT 06040
Counselor (Professional)
444 CENTER ST
MANCHESTER, CT 06040

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 Gerina Fullwood's NPI number?

The NPI number for Gerina Fullwood is 1093585598. It was assigned to this individual provider in the NPPES registry on January 5, 2024.

Where is Gerina Fullwood located?

Gerina Fullwood practices at 444 Center St, Manchester, CT 06040. The listed phone number is (860) 731-5522.

What is Gerina Fullwood'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 Gerina Fullwood was last updated on January 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.