Organization Active NPI

Margaret a. Fulton, Inc.

  • Community/Behavioral Health Agency
  • Minneapolis, MN
National Provider Identifier
1124359690
Registry record updated Jan 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LP0143 Issued in MN
Legal business name
MARGARET A. FULTON, INC.
Practice address
825 Nicollet Mall
Suite 1450
Minneapolis, MN 55402-2606
Phone
(612) 204-9667
NPI assigned
Jan 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2010

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

Authorized official

Name
Dr. Margaret Alyssa Fulton, PH.D.NPI 1386778017
Title
Chief Executive Officer
Phone
(612) 204-9667

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
Community/Behavioral Health Agency 251S00000X LP0143 MN Primary

Addresses

Primary practice location

825 Nicollet Mall
Suite 1450
Minneapolis, MN 55402-2606

Mailing address

825 Nicollet Mall
Suite 1450
Minneapolis, MN 55402-2606
Phone (612) 204-9667

Other identifiers 1

IdentifierTypeStateIssuer
1386778017OtherMNNPI INDIVIDUAL PROVIDER NUMBER

Other names 1

  • Margaret A. Fulton, Ph.D., ABPP, LP Doing business as

National Provider Directory

National Provider Directory

Locations

825 Nicollet Mall
Ste 1450
Minneapolis, MN 55402
Phone (612) 204-9667

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": "1264291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264291200000",
    "number": "1124359690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL",
            "address_2": "SUITE 1450",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022606",
            "telephone_number": "612-204-9667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL",
            "address_2": "SUITE 1450",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022606",
            "telephone_number": "612-204-9667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGARET A. FULTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-24",
        "last_updated": "2010-01-24",
        "status": "A",
        "authorized_official_last_name": "FULTON",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "ALYSSA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "612-204-9667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "LP0143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL PROVIDER NUMBER",
            "identifier": "1386778017",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Margaret A. Fulton, Ph.D., ABPP, LP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2010; 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.