Organization Active NPI

Authentic Insight Psychology PLLC

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1245101047
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
AUTHENTIC INSIGHT PSYCHOLOGY PLLC
Practice address
31 W 34TH St
8TH FL PMB 8093
New York, NY 10001-3009
Phone
(347) 201-0492
NPI assigned
Sep 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Authorized official

Name
Dr. Olga Gulyayeva Fuller, PHDNPI 1053036905
Title
Owner/Psychologist
Phone
(347) 201-0492

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

31 W 34TH St
8TH FL PMB 8093
New York, NY 10001-3009

Mailing address

31 W 34TH St
New York, NY 10001-3009
Phone (347) 201-0492

National Provider Directory

National Provider Directory

Locations

31 W 34th St
New York, NY 10001

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": "1757894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1245101047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 W 34TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013009",
            "telephone_number": "347-201-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 W 34TH ST",
            "address_2": "8TH FL PMB 8093",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013009",
            "telephone_number": "347-201-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC INSIGHT PSYCHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "OLGA",
        "authorized_official_middle_name": "GULYAYEVA",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "347-201-0492",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.