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

FULTON FAMILY PSYCHIATRY PC
NPI 1912563867
Psychiatry & Neurology - Psychiatry in Fulton, NY

Active since May 16, 2019
5 ROSE LN, FULTON, NY 13069(315) 887-1059(315) 887-1225 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Fulton Family Psychiatry Pc NPPES

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

FULTON FAMILY PSYCHIATRY PC (NPI 1912563867) is a healthcare organization registered as a psychiatry in Fulton, New York and active in the NPI registry since May 2019. The organization lists Norraine Sabanpan, Medical Secretary, as its authorized official.

NPPES Registry Identity

NPI1912563867
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameFULTON FAMILY PSYCHIATRY PC
Location Address5 ROSE LNFulton, NY 13069-4204
Mailing Address5 Rose LnFulton, NY 13069-4204 · (315) 887-1059 · Fax (315) 887-1225
Fax(315) 887-1225
Organization SubpartNo
Authorized OfficialNorraine SabanpanMedical Secretary · (315) 887-1059
Enumeration DateMay 16, 2019
Last NPPES UpdateOctober 22, 2026
NPPES CertifiedOctober 22, 2026
✔ NPI 1912563867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
5 ROSE LN, Fulton, NY 13069

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fulton Family Psychiatry Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Fulton Family Psychiatry PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Psychiatry
NPI 1811162787
110 W 6TH ST
Oswego, NY 13126
(315) 326-3531
✔ PECOS✔ Accepts Medicare8.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Fulton Family Psychiatry PC's NPI number?

The NPI number for Fulton Family Psychiatry PC is 1912563867. It was assigned to this organization in the NPPES registry on May 16, 2019.

Where is Fulton Family Psychiatry PC located?

Fulton Family Psychiatry PC is located at 5 Rose Ln, Fulton, NY 13069. The listed phone number is (315) 887-1059.

What is Fulton Family Psychiatry PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Fulton Family Psychiatry PC enrolled in Medicare?

Yes. Fulton Family Psychiatry PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fulton Family Psychiatry PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Fulton Family Psychiatry PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fulton Family Psychiatry PC was last updated on October 22, 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.