Catherine A Fullerton, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

221718 Issued in MA

Practice address

1130 Massachusetts Ave
Third Floor
Cambridge, MA 02138-5204

Phone

(617) 395-7991

NPI assigned

Nov 7, 2005

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Bournewood Clinical Associates

  • Nurse Practitioner
  • Brookline, MA
  • NPI 1891780144

  Psychiatry

  NPD (past)
• First Psychiatric Planners, Inc

  dba Bournewood Hospital

  • Psychiatric Hospital
  • Brookline, MA
  • NPI 1093714412
  NPD (past)

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1427039601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 LONGWOOD AVE",
            "address_2": "DEPARTMENT OF HEALTH CARE POLICY",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155821",
            "telephone_number": "617-432-4356",
            "fax_number": "866-444-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 MASSACHUSETTS AVE",
            "address_2": "THIRD FLOOR",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385204",
            "telephone_number": "617-395-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLERTON",
        "first_name": "CATHERINE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "221718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fuel for Life, LLC
• Ashley Ann Fuentes-Rivera, RN
• Andrew P Fuller, M.D.
• Clinton Fuller, M.S., BCBA, LABA
• Michael J Fuller, M.D.
• Valerie Ann Fullum, LICSW
• Birgit Funke, PH.D., FACMG
• Marina Furman, O.D.
• Michael P. Furstenberg, ED.D.
• Elizabeth Ann Furtado, OTR/L

• Psychiatry Physician in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.