DR. WENDY P FULLER PHD NPI 1699285759

Psychologist (Clinical) in Glen Oaks, NY

NPI 1699285759 Individual Female Years of Experience 6 Psychologist Clinical PECOS Enrolled Accepts Medicare Approved Payment

About WENDY FULLER

Wendy Fuller is a provider established in Glen Oaks, New York and her medical specialization is psychologist (clinical) with more than 6 years of experience. The NPI number of Wendy Fuller is 1699285759 and was assigned on October 2017. The practitioner's primary taxonomy code is 103TC0700X with license number 022384 (NY). The provider is registered as an individual and her NPI record was last updated 3 years ago.

A clinical psychologist like Dr. Wendy P Fuller Phd assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

Wendy Fuller is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME)

Wendy Fuller is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

NPI

1699285759

Provider NameDR. WENDY P FULLER PHD
Provider Location Address75-79 263RD ST GLEN OAKS, NY 11004
Provider Mailing Address75-79 263RD ST GLEN OAKS, NY 11004
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2016
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date10-03-2017
Last Update Date05-02-2019


Primary Taxonomy

Taxonomy Code103TC0700X
ClassificationPsychologist
TypeBehavioral Health & Social Service Providers
SpecializationClinical
License No.022384
License StateNY
Taxonomy DescriptionA 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.

Business Address

DR. WENDY P FULLER PHD
75-79 263RD ST
GLEN OAKS, NY
ZIP 11004
Phone: (718) 470-8995

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Mailing Address

DR. WENDY P FULLER PHD
75-79 263RD ST
GLEN OAKS, NY
ZIP 11004
Phone: (718) 470-8995



Secondary Locations

75-59 263rd Street
Glen Oaks, NY 11004
(718) 470-8995

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.