NPIMap

Organization Active NPI

Paul F Fulford PHD PA

  • Clinical Psychologist
  • Paterson, NJ
National Provider Identifier
1619114741
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00177400 Issued in NJ
Legal business name
PAUL F FULFORD PHD PA
Practice address
100 Hamilton PLZ
Suite 1411
Paterson, NJ 07505-2109
Phone
(973) 278-1203
NPI assigned
Jan 12, 2009
Last updated
Jan 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Authorized official

Name
Dr. Paul F Fulford, PHD
Title
Owner
Phone
(973) 278-1203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35SI00177400 NJ Primary

Addresses

Primary practice location

100 Hamilton PLZ
Suite 1411
Paterson, NJ 07505-2109

Mailing address

100 Hamilton PLZ
Suite 1411
Paterson, NJ 07505-2109
Phone (973) 278-1203

National Provider Directory

National Provider Directory
Tax ID family
Paul F Fulford PHD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

100 Hamilton Plz
Ste 1411
Paterson, NJ 07505
Phone (973) 278-1203

NPI Registry JSON

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1619114741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HAMILTON PLZ",
            "address_2": "SUITE 1411",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075052109",
            "telephone_number": "973-278-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HAMILTON PLZ",
            "address_2": "SUITE 1411",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075052109",
            "telephone_number": "973-278-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL F FULFORD PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "FULFORD",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-278-1203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00177400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.