Adrianne Fuller-St.John, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2014001332 Issued in PA

Practice address

121 E Broadway Blvd
Sedalia, MO 65301-5800

Phone

(660) 826-2380

Fax

(660) 827-6277

NPI assigned

Apr 2, 2024

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

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mefford Vuagniaux & Associates

  • Clinical Psychologist
  • Sedalia, MO
  • NPI 1477656585
  Medicare reassignment NPD
• Thomas Mefford

  • Psychologist
  • Sedalia, MO
  • NPI 1659207090
  NPD (past)

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1427800697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E BROADWAY BLVD",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653015800",
            "telephone_number": "660-826-2380",
            "fax_number": "660-827-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E BROADWAY BLVD",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653015800",
            "telephone_number": "660-826-2380",
            "fax_number": "660-827-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER-ST.JOHN",
        "first_name": "ADRIANNE",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "2014001332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindell Neal Frankum, D.D.S.
• Thelma Guadalupe Frankum, D.D.S.
• Joshua Charles Frates, PT
• Frederick Yap, M.D., LLC
• Robert L Frederickson, MD
• G & R Health Associates Inc
• Jennifer Gamber, NP-C
• Sheila Diane Gamm, PTA
• Courtney Elizabethann Garr, DPT. PT
• Teresa L. Gatton, D.O.

• Clinical Psychologist in Sedalia, MO
• Providers in Sedalia, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.