CHERYL FULLER (NPI# 1750303269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750303269 |
| Entity Type | Individual |
| Full Name | CHERYL FULLER |
| Credential | PHD |
| Practice Address |
1814 8th Ave # B Fort Worth TX 76110-1354 |
| Mailing Address |
4320 Bellaire Dr S Apt 226w Fort Worth TX 76109-5197 |
| Practice Telephone | 8177358222 |
| Practice Fax Number | 8179241369 |
| Mailing Telephone | 8178329329 |
| Mailing Fax Number | 8179241369 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2010-08-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 23404 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS | 0012JC | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376851410 | Cheryl A Fuller | Nurse Practitioner | 318 Us Highway 51 N, Dongola, IL 62926-1103 | 2010-09-23 |
| 1457903528 | Cheryl E Fuller | Counselor | 950 Lila Ave, Milford, OH 45150-1683 | 2019-07-09 |
| 1356468748 | Cheryl Fuller | Specialist/Technologist | 1717 6th Ave S, Room 151, Birmingham, AL 35249-0001 | 2007-03-23 |
| 1316001803 | Cheryl T. Fuller | Counselor | 1727 Amsterdam Ave, New York, NY 10031-4611 | 2006-12-20 |
| 1841386604 | Cheryl Allen Fuller | Registered Nurse | 640 Madison Ave, Scranton, PA 18510-1631 | 2006-10-05 |
| 1144210527 | Cheryl K Fuller | Nurse Practitioner | 640 Flormann St, Rapid City, SD 57701-4679 | 2005-10-26 |
| Street Address |
1814 8TH AVE # B |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76110-1354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689789901 | Cheryl C. Fuller Phd Pa | Psychologist | 1814 8th Ave # B, Fort Worth, TX 76110-1354 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992177240 | Sarah Jones Midwifery | Midwife | 2260 5th Ave, Fort Worth, TX 76110 | 2015-10-27 |
| 1427371814 | Cenikor Foundation | Community/Behavioral Health | 2209 South Main Street, Fort Worth, TX 76110 | 2010-03-12 |
| 1225282320 | Ktv Dental, Pa | Dentist | 2717 8th Ave., Fort Worth, TX 76110 | 2008-11-17 |
| 1821291014 | Michael J Davis | Dentist | 1818 8th Avenue, Fort Worth, TX 76110 | 2007-06-06 |
| 1669513347 | Latoya Cherrell Carter | Counselor | 1814 8th Ave # B201, Fort Worth, TX 76110 | 2007-02-08 |
| 1659446771 | Christina Pey-ru Chou | Marriage & Family Therapist | 1616 Park Place Ave., Fort Worth, TX 76110 | 2006-11-22 |
| 1750461364 | Zera Inc | Home Health | 1050 Forest Park Blvd, Fort Worth, TX 76110 | 2006-10-17 |
| 1144300914 | Tai Anh Huynh | Optometrist | 1405 West Berry St, Fort Worth, TX 76110 | 2006-10-16 |
| 1871510784 | Robert T Keller Md & Assco Pa | Internal Medicine | 2751 Greenoaks Rd, Fort Worth, TX 76110 | 2006-07-16 |
| 1114906633 | The Womens Center of Tarrant County Inc | Clinic/Center | 1723 Hemphill, Fort Worth, TX 76110 | 2006-01-12 |
| Find all providers in zip 76110 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1306481205 | Luma Psychology Pllc | Psychologist | 2201 Dottie Lynn Pkwy Ste 127, Fort Worth, TX 76120-4435 | 2019-11-14 |
| 1710484985 | Jordana Elyse Mortimer | Psychologist | 1208 W Magnolia Ave Ste 234, Fort Worth, TX 76104-8801 | 2018-04-12 |
| 1255848750 | William Travis Gardner | Psychologist | 4436 Robertson Rd, Fort Worth, TX 76135-9438 | 2018-01-05 |
| 1760895130 | Mark Schmidt | Psychologist | 6308 Ferncreek Ln, Fort Worth, TX 76179-4701 | 2014-06-03 |
| 1891113676 | Lisa Hensley | Psychologist | 4415 Morris Ct, Fort Worth, TX 76103-3226 | 2014-03-31 |
| 1265781454 | Elizabeth O Oriola-otenaike | Psychologist | 6620 Trinity Heights Blvd, Fort Worth, TX 76132-3578 | 2012-09-03 |
| 1780950436 | Carol Lacey Richardson | Psychologist | 4316 Lake Stone Trl, Fort Worth, TX 76123-8009 | 2012-03-27 |
| 1477834133 | Larry Wayne Carter II | Psychologist | 6100 Western Pl Ste 908, Fort Worth, TX 76107-4600 | 2011-09-07 |
| 1639358385 | Beatrix Wagner | Psychologist | 6300 John Ryan Dr, Fort Worth, TX 76132-4122 | 2007-10-30 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76110 |
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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.