Individual provider Active NPI

Eleanor Kent Fulton, PSY.D.

  • Clinical Psychologist
  • Acton, MA
National Provider Identifier
1285006734
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7814 Issued in MA
Practice address
532 Great Rd
Acton, MA 01720-3415
Phone
(978) 263-0439
NPI assigned
Oct 23, 2015
Last updated
Oct 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 7814 MA Primary

Addresses

Primary practice location

532 Great Rd
Acton, MA 01720-3415

Mailing address

532 Great Rd
Acton, MA 01720-3415
Phone (978) 263-0439

Other names 1

  • Dr. Eleanor Kent Heiner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160204001400 MA Practitioner - Clinical Psychologist 3678537172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

532 Great Rd
Acton, MA 01720-3415
Phone (508) 785-5518

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7814MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Acton Psychological Associates LLC Clinical CurrentSince May 1, 2018 Accepting new patients
Rock Landing Psychological Group PLC Clinical PastSince Jan 4, 2010 Accepting new patients

Locations

532 Great Rd
Acton, MA 01720
Phone (508) 785-5518

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1285006734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 GREAT RD",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203415",
            "telephone_number": "978-263-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 GREAT RD",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203415",
            "telephone_number": "978-263-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTON",
        "first_name": "ELEANOR",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-23",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "7814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELEANOR",
            "last_name": "HEINER",
            "middle_name": "KENT",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Acton, MA

Sources for this page

Verify at the official NPI Registry.