Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KIM FULLER PH.D.
NPI 1750379996
Psychologist in Coral Gables, FL

Active since October 12, 2005
5665 PONCE DE LEON BLVD, ROOM 213, CORAL GABLES, FL 33146(305) 284-6874(305) 284-1700 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Dr. Kim Fuller Ph.d. NPPES

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

DR. KIM FULLER PH.D. (NPI 1750379996) is an individual psychologist in Coral Gables, Florida, licensed in Florida (PY4602) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1750379996
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. KIM FULLERCredential: PH.D.
Location Address5665 PONCE DE LEON BLVD, ROOM 213Coral Gables, FL 33146-2510
Mailing Address5665 Ponce De Leon Blvd, Room 213Coral Gables, FL 33146-2510 · (305) 284-6874 · Fax (305) 284-1700
Fax(305) 284-1700
Sole ProprietorNo
Enumeration DateOctober 12, 2005
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPI 1750379996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in FL · PY4602
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.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PY4602 (FL)
5665 PONCE DE LEON BLVD, Coral Gables, FL 33146

Other Providers at the Same Location NPPES 11

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

Psychologist (Clinical)
5665 PONCE DE LEON BLVD, 2ND FLOOR
CORAL GABLES, FL 33146
Psychologist
5665 PONCE DE LEON BLVD, ROOM 246
CORAL GABLES, FL 33146
Psychologist (Clinical)
5665 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
Psychologist
5665 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
Psychologist
5665 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
Behavior Analyst
5665 PONCE DE LEON BLVD, 2ND FLOOR 237
CORAL GABLES, FL 33146
Psychologist (Clinical Child & Adolescent)
5665 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
Psychologist (Clinical Child & Adolescent)
5665 PONCE DE LEON BLVD
CORAL GABLES, FL 33146

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 Kim Fuller's NPI number?

The NPI number for Kim Fuller is 1750379996. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Where is Kim Fuller located?

Kim Fuller practices at 5665 Ponce De Leon Blvd Room 213, Coral Gables, FL 33146. The listed phone number is (305) 284-6874.

What is Kim Fuller'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 Kim Fuller was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.