Full Spectrum Therapy

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Legal business name

FULL SPECTRUM THERAPY

Practice address

805 N Arthur Ave
Pocatello, ID 83204-2803

Phone

(208) 274-5925

NPI assigned

Jul 25, 2025

Last updated

Jul 25, 2025By 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

Dr. Jenn Gallup, PH.D.

Title

Psychologist

Phone

(208) 406-2492

Specialties & licenses 2

Addresses

Locations

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.

• Jennifer Leslie Gallup, PH.D.

  • Psychologist
  • Pocatello, ID
  • NPI 1609648807
  NPD
• Celal Perihan

  • Psychologist
  • Pocatello, ID
  • NPI 1780565895
  NPD

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

{
    "created_epoch": "1753401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753401600000",
    "number": "1790668069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N ARTHUR AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832042803",
            "telephone_number": "208-274-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 N ARTHUR AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832042803",
            "telephone_number": "208-274-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL SPECTRUM THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A",
        "authorized_official_last_name": "GALLUP",
        "authorized_official_first_name": "JENN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "208-406-2492",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Frost, LMT
• Bailey Caroline Fry, ATS
• Mandy L Fry, RPH
• Brian C Fulks, MD
• Full Spectrum Therapy
• Domenick Fuller, DDS
• Jessica Fullmer
• Collin Andrew Fuqua
• Poonam Kaur Furmah, DMD
• Michele Beth Furniss, CCC-SLP

• Clinical Child & Adolescent Psychologist in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Clinical Child & Adolescent Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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.