DR. WENDY P FULLER PHD
NPI 1699285759
Psychologist - Clinical in Bronx, NY
About Dr. Wendy P Fuller Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. WENDY P FULLER PHD (NPI 1699285759) is an individual clinical provider in Bronx, New York, licensed in New York (022384) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Wendy P Fuller Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Wendy Fuller reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bronx, NY 10467
- Reassigned Medicare billing, New York enrollment
- 5,251 clinicians in this Medicare group
Great Neck, NY 11021
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10467 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Wendy Fuller's NPI number?
The NPI number for Wendy Fuller is 1699285759. It was assigned to this individual provider in the NPPES registry on October 3, 2017.
Where is Wendy Fuller located?
Wendy Fuller practices at 3317 Rochambeau Ave, Bronx, NY 10467. The listed phone number is (718) 470-8995.
What is Wendy Fuller's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Wendy Fuller enrolled in Medicare?
Yes. Wendy Fuller is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Wendy Fuller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Wendy Fuller reassigns Medicare benefits to 2 organizations: Montefiore Medical Center (Bronx, NY) and North Shore-Lij Medical PC (Great Neck, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Wendy Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Wendy Fuller was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Wendy P Fuller, PHD · NPI 1699285759
Clinical provider in Bronx, New York. Individual provider, active in the CMS NPPES registry since October 3, 2017.
## Identity
- **NPI:** 1699285759 (Entity type: Individual)
- **Enumerated:** October 3, 2017
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 022384 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 3317 ROCHAMBEAU AVE, Bronx, NY 10467-2846
- **Phone:** (718) 470-8995
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Montefiore Medical Center (NPI 1063525152, Bronx, NY); North Shore-Lij Medical PC (NPI 1053688572, Great Neck, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1699285759) · Data from the CMS NPPES public registry.