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FULLERS PLACE
NPI 1538964150
Nurse Practitioner - Psychiatric/Mental Health in New York, NY

Active since February 18, 2025
445 PARK AVE FL 990167, NEW YORK, NY 10022(347) 300-5858 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fullers Place NPPES

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

FULLERS PLACE (NPI 1538964150) is a healthcare organization registered as a psychiatric/mental health in New York, New York and active in the NPI registry since February 2025. The organization lists Linda K Fuller, Director, as its authorized official.

NPPES Registry Identity

NPI1538964150
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameFULLERS PLACE
Location Address445 PARK AVE FL 990167New York, NY 10022-2606
Mailing Address1102 Gates AveBrooklyn, NY 11221-4304 · (347) 300-5858
Phone(347) 300-5858
Organization SubpartNo
Authorized OfficialLinda K FullerDirector · (347) 300-5858
Enumeration DateFebruary 18, 2025
NPPES CertifiedFebruary 17, 2025
✔ NPI 1538964150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
445 PARK AVE FL 990167, New York, NY 10022
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

MIND BRIDGE HEALTH NP IN PSYCHIATRY
Clinical Nurse Specialist (Psychiatric/Mental Health, Geropsychiatric)
445 PARK AVE FL 990167
NEW YORK, NY 10022
New York County (347) 424-4799
LINDA KAY FULLER LLC
Nurse Practitioner (Psychiatric/Mental Health)
445 PARK AVE FL 990167
NEW YORK, NY 10022
New York County (347) 300-5858

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 Fullers Place's NPI number?

The NPI number for Fullers Place is 1538964150. It was assigned to this organization in the NPPES registry on February 18, 2025.

Where is Fullers Place located?

Fullers Place is located at 445 Park Ave Fl 990167, New York, NY 10022. The listed phone number is (347) 300-5858.

What is Fullers Place's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Fullers Place was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.