DR. KAYLEEN M FULLER (NPI# 1073552402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073552402 |
Entity Type | Individual |
Full Name | DR. KAYLEEN M FULLER |
Credential | PH.D. |
Practice Address |
8706 S 700 E Ste 103 Sandy UT 84070-1808 |
Practice Telephone | 8016522720 |
Practice Fax Number | 8016067738 |
Mailing Telephone | 8016522720 |
Mailing Fax Number | 8016067738 |
Enumeration Date | 2006-06-04 |
Last Update Date | 2019-04-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
200419-2501 | UT | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2666 S 2000 E Ste 101, Slc, UT 841091721 | 8016522720 | 8016067738 |
Street Address |
8706 S 700 E STE 103 |
City | SANDY |
State | UT |
Zip Code | 84070-1808 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215360425 | Calm Mind, Inc. | Psychologist | 8706 S 700 E Ste 103, Sandy, UT 84070-1808 | 2013-08-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639777568 | Megan Komatsu Inc. | Social Worker | 10815 700 East, Sandy, UT 84070 | 2020-10-13 |
1841803137 | Anywhere Care | Nurse Practitioner | 9980 S. 300 W. Suite 200, Sandy, UT 84070 | 2020-08-26 |
1245840552 | Kirandeep Kaur | Psychologist | 9678 700 E # 102, Sandy, UT 84070 | 2020-08-03 |
1740890961 | Elizabeth Lowe Madsen | Counselor | 9678 700 East Suite 102, Sandy, UT 84070 | 2020-08-03 |
1417597188 | Hayley Burr | Counselor | 8706 700 E, Suite 205, Sandy, UT 84070 | 2020-01-10 |
1821656422 | Karen Ritchie | Counselor | 9192 South 300 West, Sandy, UT 84070 | 2019-05-30 |
1679068159 | Derek Livingston | Counselor | 11075 State St #35, Sandy, UT 84070 | 2018-06-27 |
1891283735 | Alta Rx LLC. | Pharmacy | 9883 South 500 West, Sandy, UT 84070 | 2018-04-26 |
1790273704 | The Addiction Medicine Physicians Group, LLC | Registered Nurse | 9160 S 300 E. Ste 25, Sandy, UT 84070 | 2018-04-25 |
1841794765 | Caryn Beazel | Physical Therapist | 9350 150 E, Sandy, UT 84070 | 2018-03-23 |
Find all providers in zip 84070 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457881955 | Valor Psychological Services, LLC | Psychologist | 8160 S Highland Dr Ste C104, Sandy, UT 84093 | 2017-06-16 |
1528436375 | Jonathan Codell | Psychologist | 4 Quietwood Ln, Sandy, UT 84092-4845 | 2015-09-10 |
1528232865 | Clinical Psychology Services, Inc. | Psychologist | 9500 S 1400 E, Sandy, UT 84092-2906 | 2008-04-17 |
1104804194 | Kristin E. Robinson | Psychologist | 8184 S Highland Dr, C-8, Sandy, UT 84093-6477 | 2006-01-09 |
1568459493 | Murl L Silvey | Psychologist | 38740 Proctor Blvd, Sandy, OR 97055-8030 | 2005-10-05 |
1528578077 | Spiel Psychological Services | Psychologist | 8074 S 1300 E, Sandy, UT 84094-0743 | 2017-10-10 |
1215360425 | Calm Mind, Inc. | Psychologist | 8706 S 700 E Ste 103, Sandy, UT 84070-1808 | 2013-08-12 |
1134306558 | Kenneth C. Rodgers | Psychologist | 8160 Highland Dr, # 102, Sandy, UT 84093-6492 | 2008-01-28 |
1841212727 | Kenneth C. Rodgers, Ph.d., P.C. | Psychologist | 8160 Highland Dr, # 102, Sandy, UT 84093-6492 | 2006-07-23 |
NPI | Name | Taxonomy | Address | Enumeration |
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1205433059 | Steven Lucero | Psychologist | 93 S 1250 E, Logan, UT 84321-6770 | 2020-10-05 |
1023627759 | Wasatch Front Wellness, Pllc | Psychologist | 940 N 400 E Ste 3, North Salt Lake, UT 84054-1945 | 2020-07-29 |
1376165530 | Kirsten Leigh Graham | Psychologist | 351 W University Blvdgeneral Classrooms 308-o, General Classrooms 308-o, Cedar City, UT 84720 | 2020-05-11 |
1467073833 | Realign Psychology LLC | Psychologist | 1042 E Fort Union Blvd, #1085, Midvale, UT 84047-1800 | 2020-04-27 |
1508404344 | Rith Counseling and Assessment Pllc | Psychologist | 10432 S 4000 W, South Jordan, UT 84009-5729 | 2019-12-11 |
1780230433 | Carolynne Elizabeth Baron | Psychologist | Va Salt Lake City Healthcare System 500 Foothill Drive, Salt Lake City, UT 84148-0001 | 2019-08-16 |
1255999637 | Thomas Golightly | Psychologist | 1500 Wsc Byu, Provo, UT 84602 | 2019-05-31 |
1639732571 | Scott A Baldwin | Psychologist | 1190 N 900 E Ofc 285, Provo, UT 84604-3536 | 2019-04-16 |
1407311087 | Hiu Wai Caldwell | Psychologist | 796 E. Pacific Drive Suite B, American Fork, UT 84003-8400 | 2019-02-07 |
1992273734 | Tracy Ellis | Psychologist | 70 N Main St Ste 104, Bountiful, UT 84010-6115 | 2018-11-09 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.