DERONTE FULLERTON
NPI 1497528236
Case Manager/Care Coordinator in Willoughby Hills, OH

Q: What is Deronte Fullerton's NPI number?

The NPI number for Deronte Fullerton is 1497528236. It was assigned to this individual provider in the NPPES registry on November 2, 2023.

Q: What is Deronte Fullerton's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Deronte Fullerton was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since November 02, 2023

2785 SOM CENTER RD, WILLOUGHBY HILLS, OH 44094(216) 278-0288 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 11, 2025, Nov 2, 2023 (2 updates tracked since 2023).

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About Deronte Fullerton NPPES

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

DERONTE FULLERTON (NPI 1497528236) is an individual case manager/care coordinator provider in Willoughby Hills, Ohio and active in the NPI registry since November 2023. He maintains a secondary practice location in Cleveland.

NPPES Registry Identity

NPI1497528236

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameDERONTE FULLERTON

Location Address2785 SOM CENTER RDWilloughby Hills, OH 44094-6501

Mailing Address92 E 219th StEuclid, OH 44123-1102 · (216) 703-0348

Phone(216) 278-0288

Sole ProprietorYes

Enumeration DateNovember 2, 2023

Last NPPES UpdateApril 11, 20252 updates tracked since enumeration

NPPES CertifiedApril 11, 2025

✔ NPI 1497528236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Also ListedBehavior TechnicianTaxonomy 106S00000X

2785 SOM CENTER RD, Willoughby Hills, OH 44094

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Secondary Practice Location 1

Location 117325 Euclid Ave Ste 4012Cleveland, OH 44112-1262 · Phone (216) 438-3349 · Fax (216) 250-8148

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.

MONIQUE D JOHNSON

Behavior Technician

2785 SOM CENTER RD
WILLOUGHBY HILLS, OH 44094

Lake County (216) 278-0288

DAIJONA JOHNSON

Behavior Technician

2785 SOM CENTER RD
WILLOUGHBY HILLS, OH 44094

Lake County (216) 278-0288

DR. DOUG JAMES MCLAUGHLIN D.O.

Psychiatry & Neurology (Psychiatry)

2785 SOM CENTER RD
WILLOUGHBY HILLS, OH 44094

Lake County (440) 602-8601

DRS. HILL & THOMAS CO.

Clinic/Center (Radiology)

2785 SOM CENTER RD
WILLOUGHBY, OH 44094

Lake County (440) 944-8887

TAYLOR LEANNE WOLFE

Behavior Technician

2785 SOM CENTER RD
WILLOUGHBY HILLS, OH 44094

Lake County (216) 278-0288

MICHAEL CHARLES MICHAUD BCBA

Behavior Analyst

2785 SOM CENTER RD
WILLOUGHBY HILLS, OH 44094

Lake County (216) 278-0288

VERONICA RASILE

Behavior Analyst

2785 SOM CENTER RD
WILLOUGHBY HILLS, OH 44094

Lake County (216) 278-0288

MR. MARK E. HOLTCAMP PA

Physician Assistant (Surgical)

2785 SOM CENTER RD
WILLOUGHBY, OH 44094

Lake County (440) 975-5575

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 Deronte Fullerton's NPI number?

The NPI number for Deronte Fullerton is 1497528236. It was assigned to this individual provider in the NPPES registry on November 2, 2023.

Where is Deronte Fullerton located?

Deronte Fullerton practices at 2785 Som Center Rd, Willoughby Hills, OH 44094. The listed phone number is (216) 278-0288.

What is Deronte Fullerton's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Deronte Fullerton was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.