The Fulton Center for Valued Living, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE FULTON CENTER FOR VALUED LIVING, LLC

Practice address

445 Brick Blvd Ste 302
Brick, NJ 08723-6080

Phone

(908) 415-6354

NPI assigned

Oct 24, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Justine Fulton, PSY.D.NPI 1225679426

Title

Clinical Psychologist

Phone

(732) 330-9440

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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

• Justine Fulton, PSYD

  • Clinical Psychologist
  • Brick, NJ
  • NPI 1225679426
  Medicare reassignment NPD Authorized official
• Lindsay Harold, PSY.D.

  • Psychologist
  • Brick, NJ
  • NPI 1750835401
  NPD

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571875200000",
    "number": "1114560893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 BRICK BLVD STE 302",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236080",
            "telephone_number": "908-415-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 BRICK BLVD STE 302",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236080",
            "telephone_number": "908-415-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FULTON CENTER FOR VALUED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-24",
        "last_updated": "2019-10-24",
        "status": "A",
        "authorized_official_last_name": "FULTON",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "732-330-9440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drjfulton@centerforvaluedliving.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "445 Brick Blvd Ste 302",
            "city": "Brick",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "087236080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.