CHERYL C. FULLER PHD PA
NPI 1689789901
Psychologist in Fort Worth, TX

Active since August 19, 2006
1814 8TH AVE # B, FORT WORTH, TX 76110(817) 735-8222(817) 924-1369 Get Directions Write a Review

NPPES record last updated: August 25, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cheryl C. Fuller Phd Pa NPPES

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

CHERYL C. FULLER PHD PA (NPI 1689789901) is a healthcare organization registered as a psychologist in Fort Worth, Texas and active in the NPI registry since August 2006. The organization lists Cheryl C. Fuller, President, as its authorized official.

NPPES Registry Identity

NPI1689789901
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameCHERYL C. FULLER PHD PA
Location Address1814 8TH AVE # BFort Worth, TX 76110-1354
Mailing Address4320 Bellaire Dr S Apt 226wFort Worth, TX 76109-5197 · (817) 735-8222 · Fax (817) 924-1369
Fax(817) 924-1369
Organization SubpartNo
Authorized OfficialCheryl C. FullerPresident · (817) 735-8222
Enumeration DateAugust 19, 2006
Last NPPES UpdateAugust 25, 2010
NPI 1689789901 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 TX · 2-3404
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.
1814 8TH AVE # B, Fort Worth, TX 76110

Other Identifiers 2

Medicare PIN00793ZTX
Other0012JCTX · Blue Cross Blue Shield

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

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

Psychologist
1814 8TH AVE # B
FORT WORTH, TX 76110

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 Cheryl C. Fuller Phd PA's NPI number?

The NPI number for Cheryl C. Fuller Phd PA is 1689789901. It was assigned to this organization in the NPPES registry on August 19, 2006.

Where is Cheryl C. Fuller Phd PA located?

Cheryl C. Fuller Phd PA is located at 1814 8th Ave # B, Fort Worth, TX 76110. The listed phone number is (817) 735-8222.

What is Cheryl C. Fuller Phd PA'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 Cheryl C. Fuller Phd PA was last updated on August 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.