Pamela Fuller, Ma, Psychotherapist, PLLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LF00000871 Issued in WA

Legal business name

PAMELA FULLER, MA, PSYCHOTHERAPIST, PLLC

Practice address

1329 Lincoln St
Suite 2
Bellingham, WA 98229-6279

Phone

(360) 788-4517

Fax

(360) 647-6719

NPI assigned

Oct 17, 2016

Last updated

Oct 17, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Pamela Ann FullerNPI 1588171136

Title

Sole Member

Phone

(360) 920-6843

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pamela Ann Fuller, LMFT

  • Marriage & Family Therapist
  • Bellingham, WA
  • NPI 1588171136
  Authorized official Same address or phone
• Jonathan M Boudin, M.ED., LMHCA

  • Mental Health Counselor
  • Bellingham, WA
  • NPI 1912371980
  NPD (past)

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1659822401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 LINCOLN ST",
            "address_2": "SUITE 2",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982296279",
            "telephone_number": "360-788-4517",
            "fax_number": "360-647-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 LINCOLN ST",
            "address_2": "SUITE 2",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982296279",
            "telephone_number": "360-788-4517",
            "fax_number": "360-647-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA FULLER, MA, PSYCHOTHERAPIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "360-920-6843",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF00000871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Juliana Palacios
• Rita Palisaityte, ARNP
• Jeanette Faye Palmer, BA
• Lacey Renee Palmer, RN
• Savannah Palmer
• Pan Vision Inc (Dr. Lydia Pan and Associates)
• Lydia Pan, O.D.
• Srijana Pandey
• Lakshmi Tapasya Rao Pandit, MD
• Prince Pannu, MD

• Marriage & Family Therapist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.