FULLERTON COUNSELING AND MEDICAL GROUP, INC
NPI 1821131673
Psychologist - Prescribing (Medical) in Fullerton, CA

Q: What is Fullerton Counseling And Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

Active since February 14, 2007

2228 N STATE COLLEGE BLVD, FULLERTON, CA 92831(714) 990-0700(714) 990-0142 Get Directions Write a Review

NPPES record last updated: March 26, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Fullerton Counseling And Medical Group, Inc NPPES

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

FULLERTON COUNSELING AND MEDICAL GROUP, INC (NPI 1821131673) is a healthcare organization registered as a prescribing (medical) in Fullerton, California and active in the NPI registry since February 2007. The organization lists Justine Anne Petrie, President, as its authorized official.

NPPES Registry Identity

NPI1821131673

Entity TypeOrganization

Primary Taxonomy103TP0016X

Legal Business NameFULLERTON COUNSELING AND MEDICAL GROUP, INC

Location Address2228 N STATE COLLEGE BLVDFullerton, CA 92831-1361

Mailing Address2228 N State College BlvdFullerton, CA 92831-1361 · (714) 990-0700 · Fax (714) 990-0142

Phone(714) 990-0700

Fax(714) 990-0142

Organization SubpartNo

Authorized OfficialJustine Anne PetriePresident · (714) 990-0700

Enumeration DateFebruary 14, 2007

Last NPPES UpdateMarch 26, 2015

✔ NPI 1821131673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers

Taxonomy Code103TP0016X

License✔ Licensed in CA · C38832

Definition

A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License PSY6172 (CA), PSY15282 (CA)

Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License ML012201 (CA)

2228 N STATE COLLEGE BLVD, Fullerton, CA 92831

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Other Identifiers 1

Medicare UPINW13750CA

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

RICHARD A FRY PH.D.

Psychologist (Clinical)

2228 N STATE COLLEGE BLVD
FULLERTON, CA 92831

Orange County (714) 266-6609

DOCTORS CHOICE SLEEP TESTING INC

Family Medicine (Sleep Medicine)

2228 N STATE COLLEGE BLVD
FULLERTON, CA 92831

Orange County (714) 672-5337

JUSTINE ANNE PETRIE MD

Psychiatry & Neurology (Psychiatry)

2228 N STATE COLLEGE BLVD
FULLERTON, CA 92831

Orange County (714) 990-0700

KIMBERLY MARIE HAGAN PHD

Psychologist (Clinical)

2228 N STATE COLLEGE BLVD, FULLERTON COUNSELING & MEDICAL GROUP INC
FULLERTON, CA 92831

Orange County (714) 990-0700

JOHN C GARDNER ML-012201

Marriage & Family Therapist

2228 N STATE COLLEGE BLVD
FULLERTON, CA 92831

Orange County (714) 990-0700

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 Fullerton Counseling And Medical Group, Inc's NPI number?

The NPI number for Fullerton Counseling And Medical Group, Inc is 1821131673. It was assigned to this organization in the NPPES registry on February 14, 2007.

Where is Fullerton Counseling And Medical Group, Inc located?

Fullerton Counseling And Medical Group, Inc is located at 2228 N State College Blvd, Fullerton, CA 92831. The listed phone number is (714) 990-0700.

What is Fullerton Counseling And Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

When was this NPI record last updated?

The NPPES record for Fullerton Counseling And Medical Group, Inc was last updated on March 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.