PAIGE DANIELLE FULMER LPT
NPI 1821980095
Licensed Psychiatric Technician in San Luis Obispo, CA

Q: What is Paige Fulmer's NPI number?

The NPI number for Paige Fulmer is 1821980095. It was assigned to this individual provider in the NPPES registry on July 21, 2025.

Q: What is Paige Fulmer's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

Q: When was this NPI record last updated?

The NPPES record for Paige Fulmer was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since July 21, 2025

1551 BISHOP ST STE 520, SAN LUIS OBISPO, CA 93401(415) 756-1799 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Paige Danielle Fulmer Lpt NPPES

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

PAIGE DANIELLE FULMER LPT (NPI 1821980095) is an individual licensed psychiatric technician in San Luis Obispo, California, licensed in California (42853) and active in the NPI registry since July 2025. She maintains a secondary practice location in Atascadero.

NPPES Registry Identity

NPI1821980095

Entity TypeIndividualFemale

Primary Taxonomy167G00000X

Provider Legal NamePAIGE DANIELLE FULMERCredential: LPT

Location Address1551 BISHOP ST STE 520San Luis Obispo, CA 93401-4665

Mailing Address1551 Bishop St Ste 520San Luis Obispo, CA 93401-4665 · (805) 461-5212

Phone(415) 756-1799

Sole ProprietorYes

Enumeration DateJuly 21, 2025

NPPES CertifiedJuly 10, 2025

✔ NPI 1821980095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers

Taxonomy Code167G00000X

License✔ Licensed in CA · 42853

Definition

An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.

1551 BISHOP ST STE 520, San Luis Obispo, CA 93401

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Secondary Practice Location 1

Location 16500 Morro Rd Ste DAtascadero, CA 93422-4142 · Phone (805) 461-5212

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.

AEGIS TREATMENT CENTERS, LLC

Clinic/Center (Methadone)