ALEX FULLENKAMP
NPI 1760318083
Nurse Practitioner - Psychiatric/Mental Health in Rocky River, OH
Active since June 23, 2026
About Alex Fullenkamp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALEX FULLENKAMP (NPI 1760318083) is an individual psychiatric/mental health provider in Rocky River, Ohio, licensed in Ohio (APRN.CNP.0042510) and active in the NPI registry since June 2026.
NPPES Registry Identity
NPI1760318083
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameALEX FULLENKAMP
Location Address19300 DETROIT RD STE 201Rocky River, OH 44116-1846
Mailing Address19300 Detroit Rd Ste 201Rocky River, OH 44116-1846 · (216) 408-7555
Phone(216) 408-7555
Sole ProprietorNo
Enumeration DateJune 23, 2026
NPPES CertifiedJune 23, 2026
✔ NPI 1760318083 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OH · APRN.CNP.0042510
19300 DETROIT RD STE 201, Rocky River, OH 44116
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760318083, enumerated as an "individual" on June 23, 2026.
The provider is located at 19300 DETROIT RD STE 201 ROCKY RIVER, OH 44116 and the phone number is (216) 408-7555.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
