MR. BRIAN JAY FULLER PH.D.
NPI 1942258595
Psychologist in Portage, MI

Active since May 05, 2006
1662 E CENTRE AVE, PORTAGE, MI 49002(269) 321-8564 Get Directions Write a Review

NPPES record last updated: June 19, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Brian Jay Fuller Ph.d. NPPES

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

MR. BRIAN JAY FULLER PH.D. (NPI 1942258595) is an individual psychologist in Portage, Michigan, licensed in Michigan (6301013172) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1942258595
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMR. BRIAN JAY FULLERCredential: PH.D.
Location Address1662 E CENTRE AVEPortage, MI 49002-4410
Mailing Address5340 Holiday TerKalamazoo, MI 49009-2196 · (269) 321-8564
Sole ProprietorYes
Enumeration DateMay 5, 2006
Last NPPES UpdateJune 19, 2012
NPI 1942258595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MI · 6301013172
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

1662 E CENTRE AVE, Portage, MI 49002

Other Providers at the Same Location NPPES 12

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
1662 E CENTRE AVE
PORTAGE, MI 49002
Psychologist (Counseling)
1662 E CENTRE AVE
PORTAGE, MI 49002
Psychologist
1662 E CENTRE AVE
PORTAGE, MI 49002
Counselor
1662 E CENTRE AVE
PORTAGE, MI 49002
Counselor
1662 E CENTRE AVE
PORTAGE, MI 49002
Psychologist
1662 E CENTRE AVE
PORTAGE, MI 49002
Psychologist (Counseling)
1662 E CENTRE AVE
PORTAGE, MI 49002
Social Worker (Clinical)
1662 E CENTRE AVE, SUITE B
PORTAGE, MI 49002

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 Brian Fuller's NPI number?

The NPI number for Brian Fuller is 1942258595. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Brian Fuller located?

Brian Fuller practices at 1662 E Centre Ave, Portage, MI 49002. The listed phone number is (269) 321-8564.

What is Brian Fuller's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Brian Fuller was last updated on June 19, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.