JENNIFER FULLER (NPI# 1467615377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467615377 |
| Entity Type | Individual |
| Full Name | JENNIFER FULLER |
| Credential | LMHC |
| Practice Address |
1045 James St Syracuse NY 13203-2730 |
| Practice Telephone | 3154724471 |
| Practice Fax Number | 3154721759 |
| Mailing Telephone | 3154724471 |
| Mailing Fax Number | 3154721759 |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2016-11-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801386230 | Jennifer Fuller | Counselor | 810a Texas Ave, Alexandria, LA 71301-4829 | 2018-05-10 |
| 1790150084 | Jennifer Fuller | Registered Nurse | 9618 N 36th St, Phoenix, AZ 85028-4938 | 2015-12-11 |
| 1952787046 | Jennifer Fuller | Specialist | 75-5995 Kuakini Hwy Ste 603, Kailua Kona, HI 96740-2124 | 2015-07-31 |
| 1902149933 | Jennifer Carroll Fuller | Otolaryngology | 11234 Anderson St # 2586a, Loma Linda, CA 92354-2804 | 2013-03-27 |
| 1861784571 | Jennifer D Fuller | Counselor | 304 W Baseline Rd, Lafayette, CO 80026-1719 | 2011-05-12 |
| 1831364108 | Jennifer Renee Fuller | Dentist | 334 Livernois St, Ferndale, MI 48220-2302 | 2008-04-28 |
| 1053962647 | Jennifer Fuller | Social Worker | 2652 Spring Arbor Rd, Jackson, MI 49203-3604 | 2019-09-25 |
| 1316501927 | Jennifer Quinn Fuller | Counselor | 7701 N Lamar Blvd Ste 206, Austin, TX 78752-1022 | 2019-04-29 |
| 1538637095 | Jennifer Fuller | Marriage & Family Therapist | 21335 Signal Hill Plz Ste 270, Sterling, VA 20164-5567 | 2018-11-02 |
| 1326529090 | Jennifer Fuller | Nurse Practitioner | 179 River St, Oneonta, NY 13820-2239 | 2018-08-22 |
| Street Address |
1045 JAMES ST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13203-2730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013912153 | Alida Anne Dejong | Registered Nurse | 1045 James St, Syracuse, NY 13203-2730 | 2005-06-16 |
| 1326648395 | Liberty Resources Psychology, Physical, Occupational and Speech Therap | Early Intervention Provider Agency | 1045 James St, Syracuse, NY 13203-2730 | 2020-10-29 |
| 1083211619 | Tracy L. Eckstrand | Developmental Therapist | 1045 James St, Syracuse, NY 13203-2730 | 2020-10-06 |
| 1306458070 | Amy Marie Ruetsch | Developmental Therapist | 1045 James St, Syracuse, NY 13203-2730 | 2020-08-23 |
| 1891306742 | Nichole Dawn Slate | Social Worker | 1045 James St, Syracuse, NY 13203-2730 | 2020-08-13 |
| 1245849280 | Louis Shirley | Peer Specialist | 1045 James St, Syracuse, NY 13203-2730 | 2020-07-27 |
| 1083232367 | Melissa Louise Potter | Developmental Therapist | 1045 James St, Syracuse, NY 13203-2730 | 2020-07-13 |
| 1881221885 | Kirsten Melville | Developmental Therapist | 1045 James St, Syracuse, NY 13203-2730 | 2020-03-27 |
| 1699302380 | Jennifer Breau | Counselor | 1045 James St, Syracuse, NY 13203-2730 | 2020-03-24 |
| 1679109771 | Lora M Denero | Developmental Therapist | 1045 James St, Syracuse, NY 13203-2730 | 2020-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998193 | Allison Elizabeth Mills | Social Worker | 1045 James St., Syracuse, NY 13203 | 2020-07-01 |
| 1467004333 | Humanitarian Organization for Multicultural Experiences, Inc. | Psychologist | 831 James Street, Syracuse, NY 13203 | 2019-07-11 |
| 1215405287 | Wellness Therapy Services Lcsw, Pllc | Counselor | Wellness Therapy Services Lcsw, Pllc, 404 Oak St. #200, Syracuse, NY 13203 | 2018-11-08 |
| 1962904912 | Michael Musante | Developmental Therapist | 1045 James Streret, Syracuse, NY 13203 | 2018-03-06 |
| 1811410236 | Lindsey Deborah Sanborn | Nurse Practitioner | 301 Prospect Avenue St. Josephs's Hospital Health Cente, Syracuse, NY 13203 | 2017-07-18 |
| 1497205975 | Phuong Pham | Counselor | 329 North Salina Street, Syracuse, NY 13203 | 2016-10-10 |
| 1942754015 | Shelly Lynn Peters | Nurse Practitioner | 329 N. Salina Street, Helio Health, Syracuse, NY 13203 | 2016-08-06 |
| 1932574217 | Kaleigh Marie Andino | Audiologist | 1001 James Street, Syracuse, NY 13203 | 2015-12-11 |
| 1376889493 | Brenda S Hartman-souder | Social Worker | 526 Oak St., Syracuse, NY 13203 | 2012-12-18 |
| 1386914711 | Steven W Dimarzo | Counselor | 404 Oak St Ste 320, Syracuse, NY 13203 | 2012-01-02 |
| Find all providers in zip 13203 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013411552 | Christopher Paul Mayer | Clinic/Center | 311 Male Ave, Syracuse, NY 13219-1001 | 2018-03-20 |
| 1497252563 | Onondaga Case Management Services Inc. | Clinic/Center | 620 Erie Blvd W Ste 208, Syracuse, NY 13204-2457 | 2018-04-06 |
| 1114438611 | Nicole Marie Gibson | Clinic/Center | 321 W Onondaga St, Syracuse, NY 13202-3207 | 2017-10-24 |
| 1821491903 | Central New York Services, Inc. | Clinic/Center | 321 W Onondaga St, Syracuse, NY 13202-3207 | 2014-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467069302 | Morning Dew Therapy, LLC | Clinic/Center | 370 Westchester Ave Apt 6u, Port Chester, NY 10573-3647 | 2020-09-24 |
| 1104430263 | Annmarie Johnson-rowe Np In Psychiatry | Clinic/Center | 14240 249th St, Rosedale, NY 11422-2144 | 2020-09-04 |
| 1700499381 | Tabitha Gonzalez Licensed Mental Health Counseling Pllc | Clinic/Center | 100 S Bedford Rd Ste 340321, Mount Kisco, NY 10549-3425 | 2020-08-25 |
| 1639791924 | Sanctuary Aso LLC | Clinic/Center | 57 W 57th St Ste 1101, New York, NY 10019-2814 | 2020-05-11 |
| 1740810282 | Therapeutic Solutions Ltd | Clinic/Center | 42 Main St Ste 201, Nyack, NY 10960-3204 | 2020-01-23 |
| 1548802770 | Christopher Bandini, Inc | Clinic/Center | 303 5th Ave Rm 1703, New York, NY 10016-6641 | 2019-10-09 |
| 1386290856 | Discovery Mental Health Counseling | Clinic/Center | 202 Saint Nicholas Ave, Brooklyn, NY 11237-5883 | 2019-08-12 |
| 1407418379 | Housing Works Services, Inc. | Clinic/Center | 743- East 9th Street, Omh Department, New York, NY 10009 | 2019-07-01 |
| 1295393296 | Ila Debra Christmas | Clinic/Center | 67-29 Myrtle Avenue, Glendale, NY 11385 | 2019-06-04 |
| 1346706793 | North Shore Services | Clinic/Center | 175 E Main St Ste 109, Huntington, NY 11743-2954 | 2019-02-11 |
| Find all providers with the same taxonomy | ||||
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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.