DR. JOHN REYNOLDS FULLERTON D.ED.
NPI 1255431037
Psychologist in Lebanon, PA

Active since September 22, 2006
VA MEDICAL CENTER (620), 1700 LINCOLN AVENUE, LEBANON, PA 17042(717) 272-6621 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John Reynolds Fullerton D.ed. NPPES

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

DR. JOHN REYNOLDS FULLERTON D.ED. (NPI 1255431037) is an individual psychologist in Lebanon, Pennsylvania, licensed in Pennsylvania (PS001071L) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1255431037
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. JOHN REYNOLDS FULLERTONCredential: D.ED.
Location AddressVA MEDICAL CENTER (620), 1700 LINCOLN AVENUELebanon, PA 17042-0000
Mailing Address102 Timber VillaElizabethtown, PA 17022-9223 · (717) 367-1005
Sole ProprietorYes
Enumeration DateSeptember 22, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1255431037 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 PA · PS001071L
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.
VA MEDICAL CENTER (620), Lebanon, PA 17042

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 John Fullerton's NPI number?

The NPI number for John Fullerton is 1255431037. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is John Fullerton located?

John Fullerton practices at VA Medical Center (620) 1700 Lincoln Avenue, Lebanon, PA 17042. The listed phone number is (717) 272-6621.

What is John Fullerton's specialty?

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

When was this NPI record last updated?

The NPPES record for John Fullerton was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.