Fuller Consulting Services, LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

FULLER CONSULTING SERVICES, LLC

Practice address

68 Leonard St
Belmont, MA 02478-2522

Phone

(617) 484-5005

Fax

(617) 484-5005

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Steffen R. Fuller, PH.D.NPI 1467598961

Title

President

Phone

(617) 484-5005

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steffen R. Fuller, PH.D.

  • Clinical Neuropsychologist
  • Belmont, MA
  • NPI 1467598961
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558407064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 LEONARD ST",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024782522",
            "telephone_number": "617-484-5005",
            "fax_number": "617-484-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 LEONARD ST",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024782522",
            "telephone_number": "617-484-5005",
            "fax_number": "617-484-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLER CONSULTING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "STEFFEN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-484-5005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "W10657",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Malgorzata Frajnt- Zielinska
• Richard Frankel, PH.D., LICSW
• Elan N French
• Sarah Ann Frances Friel, MA CCC SLP
• Alan Eric Fruzzetti, PH.D.
• Steffen R. Fuller, PH.D.
• Amy Funkenstein, M.D.
• Amy E Gagliardi, M.D.
• Aaron Galaznik, MD
• Gillian Galen, PSY.D.

• Clinical Neuropsychologist in Belmont, MA
• Providers in Belmont, MA by specialty
• Clinical Neuropsychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.