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DR. ELISA BROWN FULLER PHD
NPI 1669721684
Psychologist - Clinical in Los Angeles, CA

Active since September 05, 2012
5880 SAN VICENTE BLVD STE 103, LOS ANGELES, CA 90019(310) 295-9571 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Elisa Brown Fuller Phd NPPES

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

DR. ELISA BROWN FULLER PHD (NPI 1669721684) is an individual clinical provider in Los Angeles, California, licensed in California (PSY32819) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1669721684
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ELISA BROWN FULLERCredential: PHD
Location Address5880 SAN VICENTE BLVD STE 103Los Angeles, CA 90019-6667
Mailing Address10736 Jefferson Blvd # 412Culver City, CA 90230-4933 · (310) 295-9528
Phone(310) 295-9571
Sole ProprietorNo
Enumeration DateSeptember 5, 2012
Last NPPES UpdateOctober 24, 2025
NPPES CertifiedOctober 24, 2025
✔ NPI 1669721684 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 CA · PSY32819
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.
5880 SAN VICENTE BLVD STE 103, Los Angeles, CA 90019
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Other Names 1

Former Name (1)Elisa Marie Brown

Other Identifiers 2

Medicaid7068CA
Medicaid7420CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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.

KAREN ANNE PATTI AMFT
Marriage & Family Therapist
5880 SAN VICENTE BLVD STE 103
LOS ANGELES, CA 90019
Los Angeles County (310) 295-9571
WECARE CONSULTING & PSYCHOLOGY INC.
Psychologist (Clinical)
5880 SAN VICENTE BLVD STE 103
LOS ANGELES, CA 90019
Los Angeles County (310) 295-9571

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 Elisa Brown Fuller's NPI number?

The NPI number for Elisa Brown Fuller is 1669721684. It was assigned to this individual provider in the NPPES registry on September 5, 2012. The provider is also known as Elisa Marie Brown.

Where is Elisa Brown Fuller located?

Elisa Brown Fuller practices at 5880 San Vicente Blvd Ste 103, Los Angeles, CA 90019. The listed phone number is (310) 295-9571.

What is Elisa Brown Fuller's specialty?

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

What insurance does Elisa Brown Fuller accept?

Health plans from Providence Health Plan list Elisa Brown 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 Elisa Brown Fuller was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.