DR. JORDAN S FULLER PHD
NPI 1093598484
Psychologist in Kansas City, MO

Active since August 17, 2023PECOS EnrolledAccepts Medicare Assignment
3011 BALTIMORE AVE, KANSAS CITY, MO 64108(159) 874-6836 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jordan S Fuller Phd NPPES

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

DR. JORDAN S FULLER PHD (NPI 1093598484) is an individual psychologist in Kansas City, Missouri, licensed in Michigan (6301019267) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1093598484
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. JORDAN S FULLERCredential: PHD
Location Address3011 BALTIMORE AVEKansas City, MO 64108-3403
Mailing Address17751 Wexford StRoseville, MI 48066-4629 · (913) 449-6522
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 17, 2023
NPPES CertifiedAugust 17, 2023
NPI 1093598484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MI · 6301019267
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
3011 BALTIMORE AVE, Kansas City, MO 64108

Accepted 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. Jordan S Fuller Phd 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 ID7517303746
PECOS Enrollment IDI20240311002544
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
87 services45 patients
Administration of psychological or neuropsychological test by technician, each additional 30 minutes 96139
This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.
68 services30 patients
Administration of psychological or neuropsychological test, each additional 30 minutes 96137
This procedure involves administering psychological or neuropsychological tests to evaluate your mental functions. Each additional 30 minutes allows for a more in-depth assessment of your cognitive abilities, emotions, and behavior. It's crucial for accurate diagnosis and treatment planning.
60 services32 patients
Exam of neurobehavioral status, first hour 96116
An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.
47 services47 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
46 services46 patients
Administration of psychological or neuropsychological test by technician, first 30 minutes 96138
This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.
46 services46 patients

Other Providers at the Same Location NPPES 12

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

Occupational Therapist (Physical Rehabilitation)
3011 BALTIMORE AVE
KANSAS CITY, MO 64108
Psychologist
3011 BALTIMORE AVE
KANSAS CITY, MO 64108
Psychologist
3011 BALTIMORE AVE
KANSAS CITY, MO 64108
Psychologist (Clinical)
3011 BALTIMORE AVE
KANSAS CITY, MO 64108
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
3011 BALTIMORE AVE
KANSAS CITY, MO 64108
Occupational Therapist (Pediatrics)
3011 BALTIMORE AVE
KANSAS CITY, MO 64108
Social Worker
3011 BALTIMORE AVE
KANSAS CITY, MO 64108
Prosthetic/Orthotic Supplier
3011 BALTIMORE AVE
KANSAS CITY, MO 64108

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 Jordan Fuller's NPI number?

The NPI number for Jordan Fuller is 1093598484. It was assigned to this individual provider in the NPPES registry on August 17, 2023.

Where is Jordan Fuller located?

Jordan Fuller practices at 3011 Baltimore Ave, Kansas City, MO 64108. The listed phone number is (159) 874-6836.

What is Jordan Fuller's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jordan Fuller enrolled in Medicare?

Yes. Jordan 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 Jordan Fuller accept?

Health plans from Medica list Jordan 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 Jordan Fuller was last updated on August 17, 2023. 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.