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DR. MICKEY JOE FULLER MA, MS, PSY.D.
NPI 1427017573
Psychologist - Clinical in St George, UT

Active since March 18, 2006PECOS Enrolled
377 E RIVERSIDE DR STE B, ST GEORGE, UT 84790(435) 862-8273(435) 275-4256 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mickey Joe Fuller Ma, Ms, Psy.d. NPPES

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

DR. MICKEY JOE FULLER MA, MS, PSY.D. (NPI 1427017573) is an individual clinical provider in St George, Utah, licensed in Utah (5329261-2501) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427017573
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MICKEY JOE FULLERCredential: MA, MS, PSY.D.
Location Address377 E RIVERSIDE DR STE BSt George, UT 84790-4749
Mailing Address377 E Riverside Dr Ste BSt George, UT 84790-4749 · (435) 862-8273
Phone(435) 862-8273
Fax(435) 275-4256
Sole ProprietorNo
Enumeration DateMarch 18, 2006
Last NPPES UpdateAugust 26, 2026
NPPES CertifiedAugust 26, 2026
✔ NPI 1427017573 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 · 5329261-2501
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.
377 E RIVERSIDE DR STE B, St George, UT 84790
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Other Names 1

Professional Name (2)Dr. Mick Fuller

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mickey Joe Fuller Ma, Ms, Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Mickey Fuller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Therapy Associates, PC
Same address
Community/Behavioral Health
377 E RIVERSIDE DR STE B
St George, UT 84790
  • Reassigned Medicare billing, Utah enrollment
  • 10 clinicians in this Medicare group
NPI 1578703468 (435) 862-8273

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84790 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 20

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

BRENNON OAKLEY
Behavior Technician
377 E RIVERSIDE DR STE B
ST GEORGE, UT 84790
Washington County (435) 862-8273
ANDREW LAWS
Behavior Technician
377 E RIVERSIDE DR STE B
ST GEORGE, UT 84790
Washington County (435) 862-8273
WADE LEE WAHLQUIST RN, BSN
Registered Nurse
377 E RIVERSIDE DR STE B
ST GEORGE, UT 84790
Washington County (435) 862-8273
CHRISTOPHER RECORD
Behavior Technician
377 E RIVERSIDE DR STE B
ST GEORGE, UT 84790
Washington County (435) 862-8273
EMELINE CROFT
Behavior Technician
377 E RIVERSIDE DR STE B
ST GEORGE, UT 84790
Washington County (435) 862-8273
JOHN LARRAGOITIY
Behavior Technician
377 E RIVERSIDE DR STE B
ST GEORGE, UT 84790
Washington County (435) 862-8273
LAUREN KENDRICK
Behavior Technician
377 E RIVERSIDE DR STE B
ST GEORGE, UT 84790
Washington County (435) 862-8273
BRIAN PACE
Counselor (Mental Health)
377 E RIVERSIDE DR STE B
ST GEORGE, UT 84790
Washington County (435) 229-2557

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 Mickey Fuller's NPI number?

The NPI number for Mickey Fuller is 1427017573. It was assigned to this individual provider in the NPPES registry on March 18, 2006. The provider is also known as Dr. Mick Fuller.

Where is Mickey Fuller located?

Mickey Fuller practices at 377 E Riverside Dr Ste B, St George, UT 84790. The listed phone number is (435) 862-8273.

What is Mickey Fuller's specialty?

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

Is Mickey Fuller enrolled in Medicare?

Yes. Mickey Fuller is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mickey Fuller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mickey Fuller reassigns Medicare benefits to Therapy Associates, PC (St George, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mickey Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mickey Fuller accept?

Health plans from University of Utah Health Plans list Mickey 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 Mickey Fuller was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.