Organization Active NPI

Ginny Fullerton, PH.D PLLC

  • Psychologist
  • Houston, TX
National Provider Identifier
1023327632
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
33888 Issued in TX
Legal business name
GINNY FULLERTON, PH.D PLLC
Practice address
1401 Castle CT
Houston, TX 77006-5703
Phone
(713) 568-6837
NPI assigned
Sep 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Laura Fullerton, PH.DNPI 1275705337
Title
Psychologist, President
Phone
(713) 568-6837

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 33888 TX Primary

Addresses

Primary practice location

1401 Castle CT
Houston, TX 77006-5703

Mailing address

1401 Castle CT
Houston, TX 77006-5703
Phone (713) 568-6837

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1023327632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 CASTLE CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770065703",
            "telephone_number": "713-568-6837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 CASTLE CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770065703",
            "telephone_number": "713-568-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINNY FULLERTON, PH.D PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "FULLERTON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PSYCHOLOGIST, PRESIDENT",
        "authorized_official_telephone_number": "713-568-6837",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "33888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.