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DR. RUSSELL F FULLER I PSY.D.
NPI 1912336413
Psychologist - Clinical in La Jolla, CA

Active since November 05, 2013
4225 EXECUTIVE SQ, SUITE 1110, LA JOLLA, CA 92037(858) 558-7707(858) 558-7708 Get Directions Write a Review

NPPES record last updated: November 5, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Russell F Fuller I Psy.d. NPPES

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

DR. RUSSELL F FULLER I PSY.D. (NPI 1912336413) is an individual clinical provider in La Jolla, California, licensed in California (PSY16530) and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1912336413
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. RUSSELL F FULLER ICredential: PSY.D.
Location Address4225 EXECUTIVE SQ, SUITE 1110La Jolla, CA 92037-9122
Mailing Address4225 Executive Sq, Suite 1110La Jolla, CA 92037-9122 · (858) 558-7707 · Fax (858) 558-7708
Phone(858) 558-7707
Fax(858) 558-7708
Sole ProprietorNo
Enumeration DateNovember 5, 2013
✔ NPI 1912336413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY16530
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
4225 EXECUTIVE SQ, La Jolla, CA 92037
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Other Providers at the Same Location NPPES 8

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

FULLER PSYCHOLOGY CORPORATION
Psychologist (Clinical)
4225 EXECUTIVE SQ, SUITE 1110
LA JOLLA, CA 92037
San Diego County (858) 558-7707
DR. DENISE LYNN HAWKINSON PH.D.
Psychologist (Clinical)
4225 EXECUTIVE SQ, #1110
LA JOLLA, CA 92037
San Diego County (858) 558-8535
KARA EHRHARDT
Registered Nurse (Medical-Surgical)
4225 EXECUTIVE SQ
LA JOLLA, CA 92037
San Diego County (858) 275-2108
PACIFIC HEALTH SUPPLY LLC
Durable Medical Equipment & Medical Supplies
4225 EXECUTIVE SQ, STE 600
LA JOLLA, CA 92037
San Diego County (858) 222-3560
DR. MARY ANN SCHIFFMAN MFT
Counselor (Mental Health)
4225 EXECUTIVE SQ, SUITE 1110
LA JOLLA, CA 92037
San Diego County (858) 452-1350
DENISE HAWKINSON, PH.D., PSYCHOLOGIST, INC.
Psychologist (Clinical)
4225 EXECUTIVE SQ, #1110
LA JOLLA, CA 92037
San Diego County (858) 558-8535
DR. DON TOBIN WATKINSON D.C.
Chiropractor
4225 EXECUTIVE SQ, SUITE 385
LA JOLLA, CA 92037
San Diego County (858) 909-0898
MS. SUSAN M JORGENSEN MFT
Marriage & Family Therapist
4225 EXECUTIVE SQ, #1110
LA JOLLA, CA 92037
San Diego County (858) 622-0632

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 Russell Fuller's NPI number?

The NPI number for Russell Fuller is 1912336413. It was assigned to this individual provider in the NPPES registry on November 5, 2013.

Where is Russell Fuller located?

Russell Fuller practices at 4225 Executive Sq Suite 1110, La Jolla, CA 92037. The listed phone number is (858) 558-7707.

What is Russell Fuller's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Russell Fuller was last updated on November 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.