ALESIA NESIE FULLER (NPI# 1245508688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245508688 |
| Entity Type | Individual |
| Full Name | ALESIA NESIE FULLER |
| Practice Address |
4129 Main St. Suite 202 Riverside CA 92501 |
| Practice Telephone | 9092446159 |
| Practice Fax Number | 9514433714 |
| Mailing Telephone | 9092446159 |
| Mailing Fax Number | 9514433714 |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
25712 | CA | Behavioral Health & Social Service Providers |
| N | 103TE1100X |
Psychologist Specialization: Exercise & Sports |
25712 | CA | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
25712 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346663119 | Alesia Fuller | Counselor | 6848 Stirling Rd, Hollywood, FL 33024 | 2014-01-29 |
| Street Address |
4129 MAIN ST. SUITE 202 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437605 | Mary Horvatin | Technician | 1811 Rivera Strret, Riverside, CA 92501 | 2019-09-23 |
| 1366905473 | Timothy Daniel Collins | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme, Office, Riverside, CA 92501 | 2019-04-08 |
| 1346709672 | Lourdes Adame | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave - Gme Office, Riverside, CA 92501 | 2019-03-16 |
| 1740759067 | Kristina Ferris-celosse | Counselor | 2452 Wilshire St., Riverside, CA 92501 | 2018-11-15 |
| 1750888095 | Arunmozhi Aravagiri | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, Gme Office, 4445 Magnolia Ave., Riverside, CA 92501 | 2018-04-12 |
| 1720585847 | Alan Huynh | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue., Gme Office, Riverside, CA 92501 | 2018-04-06 |
| 1538664834 | Wilson Paul Frasca | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue, Riverside, CA 92501 | 2018-03-28 |
| 1851896575 | Geethu Gopinathan Nair | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme Office, Riverside, CA 92501 | 2018-03-26 |
| 1316465560 | Thilini Anne Abeygunaratne | Marriage & Family Therapist | 1950 Market Street, Riverside, CA 92501 | 2017-09-07 |
| 1194257410 | Melissa Chitwood | Assistant Behavior Analyst | 3078 Cedar St., Riverside, CA 92501 | 2017-03-28 |
| Find all providers in zip 92501 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861090441 | Illuminating Psychological Services Corporation | Psychologist | 4181 Flat Rock Dr Ste 311, Riverside, CA 92505-7106 | 2020-10-15 |
| 1528522216 | Ina Creekbaum | Psychologist | 4181 Flat Rock Dr Ste 300, Riverside, CA 92505-7106 | 2019-01-26 |
| 1487805545 | Lee Stillerman | Psychologist | Ucr Counseling Ctr, Veitch Student Center, North Wing, Riverside, CA 92521-0001 | 2008-10-08 |
| 1467619544 | Shauna E. Summers | Psychologist | 250 Wampanoag Trl Ste 303, Riverside, RI 02915-2217 | 2008-05-17 |
| 1134259385 | Brad Kenneth Compliment | Psychologist | The Counseling Center At Ucr, Veitch Center, North Wing, Riverside, CA 92521-0001 | 2007-03-06 |
| 1366828386 | Ralford Jones | Psychologist | 3634 Elizabeth St, Riverside, CA 92506-2506 | 2015-07-31 |
| 1194116988 | Manijeh Badiee | Psychologist | 5051 Canyon Crest Dr, Suite 204, Riverside, CA 92507-6099 | 2015-02-15 |
| 1124360342 | University of California Riverside | Psychologist | 900 University Ave, Veitch Student Center, North Wing, Riverside, CA 92521 | 2013-03-26 |
| 1215107354 | Orthopaedic Medical Group of Riverside, Inc. | Psychologist | 6850 Brockton Ave, Suite 212, Riverside, CA 92506-3808 | 2008-03-05 |
| 1396766853 | Lynda Walker Warren | Psychologist | 4515 Central Ave, Suite 203, Riverside, CA 92506-2374 | 2006-07-21 |
| Find all providers in RIVERSIDE | ||||
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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.