Jacqueline N Fulcher, PHD, LMSW

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PSY-005312 Issued in AZ

Practice address

23327 N 44TH PL
Phoenix, AZ 85050-8799

Phone

(520) 981-0618

NPI assigned

Oct 22, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jacqueline N Day Former name

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Clinical Psychologist

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1285960435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23327 N 44TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850508799",
            "telephone_number": "520-981-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23327 N 44TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850508799",
            "telephone_number": "520-981-0618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 W Saint Marys Rd",
            "address_2": "St 160",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857452621",
            "country_code": "US",
            "telephone_number": "520-628-8287",
            "fax_number": "520-628-8749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULCHER",
        "first_name": "JACQUELINE",
        "middle_name": "N",
        "credential": "PHD, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-22",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "PSY-005312",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "AZ",
            "license": "PSY-005312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "DAY",
            "middle_name": "N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Akina Fujimoto
• Clarisa Fujiwara
• Robert T. Fukuchi, MD
• Nicole Alison Fukuzawa, OTR/L
• Derek J Fulcher, MD
• Fulfillment in Training
• Nicola Fulk
• Laurel Fulkerson, LPN
• Lisa Fulkerson
• Full Anesthesia Services, LLC

• Counseling Psychologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Counseling Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.