Margaret Alyssa Fulton, PHD LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

MNLP0143 Issued in MN

Practice address

825 Nicollet Mall
Medical Arts Building Suite 1450
Minneapolis, MN 55402

Phone

(612) 204-9667

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Margaret a. Fulton, Inc.

  • Community/Behavioral Health Agency
  • Minneapolis, MN
  • NPI 1124359690
  NPD (past) Authorized official

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386778017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL",
            "address_2": "MEDICAL ARTS BUILDING SUITE 1450",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55402",
            "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": "MEDICAL ARTS BUILDING SUITE 1450",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55402",
            "telephone_number": "612-204-9667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTON",
        "first_name": "MARGARET",
        "middle_name": "ALYSSA",
        "name_prefix": "Dr.",
        "credential": "PHD LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "MNLP0143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "86037PU",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "6181329",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Max Douglas Fuller, MD
• Simone Chale Fuller
• Elisabeth Rebecca Fulling, D.D.S.
• Morgan Fulmer, PA-C
• Deborah A Fulton, CNP
• Maria Fulton, DNP
• Mario Ricardo Funes Hernandez, MD
• Dak Lam Fung, OT
• Alex Edward Funk
• Christina Marie Funk, DNP, FNP-C, APNP

• Psychologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.