DR. PAMELA R FULLER (NPI# 1053469452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053469452 |
| Entity Type | Individual |
| Full Name | DR. PAMELA R FULLER |
| Credential | PHD |
| Practice Address |
724 Front Street Suite 230 Evanston WY 82930 |
| Practice Telephone | 3077896773 |
| Practice Fax Number | 3077893244 |
| Mailing Telephone | 3077896773 |
| Mailing Fax Number | 3077893244 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 307 | WY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336778323 | Pamela Fay Fuller | Home Health Aide | 3727 Candleglenn, San Antonio, TX 78244-2153 | 2020-04-02 |
| 1548337579 | Pamela Ann Fuller | Nurse Practitioner | 1508 Sandgate Rd, Midlothian, VA 23113-2446 | 2006-11-28 |
| 1851946958 | Pamela Mary Fuller | Registered Nurse | 1620 44th St Se, Grand Rapids, MI 49508-5002 | 2019-08-06 |
| 1588171136 | Pamela Ann Fuller | Marriage & Family Therapist | 1329 Lincoln St Ste 1, Bellingham, WA 98229-6279 | 2018-01-04 |
| 1326424789 | Pamela Fuller | Case Manager/Care Coordinator | 132 Lower Ridge Rd, Conway, AR 72032-8518 | 2015-08-07 |
| 1710968441 | Pamela Gail Fuller | Social Worker | 550 Pope Ave, Munson Army Health Center (attn: Mxcn-cod, Ms. Cotton), Fort Leavenworth, KS 66027-2332 | 2005-11-09 |
| Street Address |
724 FRONT STREET SUITE 230 |
| City | EVANSTON |
| State | WY |
| Zip Code | 82930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398935 | Colby Kim Gomez | Physical Therapist | 190 Arrowhead Dr, Evanston, Wy 82930, Evanston, WY 82930 | 2020-02-13 |
| 1164808382 | Marilyn Carol Edgeworth Tacoma | Registered Nurse | 1037 Morse Lee St, Evanston, WY 82930 | 2015-08-11 |
| 1699159723 | Impact Physical Therapy LLC | Clinic/Center | 96 Yellow Creek Road, Evanston, WY 82930 | 2015-07-18 |
| 1578942421 | Mark Carstensen | Case Manager/Care Coordinator | 219 7th Street, Evanston, WY 82930 | 2015-05-26 |
| 1013396241 | Jennifer Carstensen | Case Manager/Care Coordinator | 325 Arrowhead Drive, Evanston, WY 82930 | 2015-05-20 |
| 1780083782 | Christa Lena Barker | Nurse Practitioner | 191 Overthrust Road, Evanston, WY 82930 | 2014-08-15 |
| 1366865339 | Don Mckay Francom | Dentist | 170 Arrowhead Dr. Suite 1, Evanston, WY 82930 | 2014-01-28 |
| 1417228370 | Premier Surgical Center, LLC | Clinic/Center | 195 Overthrust Road, Evanston, WY 82930 | 2012-01-24 |
| 1588959324 | Mejia D Williams | Social Worker | 190 Overthrust Road, Evanston, WY 82930 | 2011-06-09 |
| 1225327000 | Richard Jay Capener | Family Medicine | 196 Arrowhead Dr Ste 1, Evanston, WY 82930 | 2011-04-01 |
| Find all providers in zip 82930 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528571593 | Brooke P. Halpern | Psychologist | 636 Church St Ste 507, Evanston, IL 60201-4581 | 2017-11-13 |
| 1326440454 | Jennifer C. Panning Psyd and Associates | Psychologist | 636 Church St., Ste. 510, Evanston, IL 60201-4508 | 2014-09-19 |
| 1679984132 | Sean W. Harrell | Psychologist | 89 S Valley Dr Apt 22, Evanston, WY 82930-4887 | 2014-05-17 |
| 1174809990 | Michelle Doniece Morrone-kubes | Psychologist | 636 Church St Ste 619, Evanston, IL 60201-4586 | 2011-10-25 |
| 1942503800 | Barbara Richardson | Psychologist | 225 Richmond St, Evanston, IL 60202-3639 | 2010-12-15 |
| 1649440645 | Laura Lynn Viner | Psychologist | 1560 Sherman Ave., Suite 400, Yellowbrick, Evanston, IL 60201-4803 | 2008-03-05 |
| 1144408980 | Inna Meerson | Psychologist | 917 Washington St Apt 1n, Evanston, IL 60202-2289 | 2008-02-04 |
| 1093912644 | Donald J Miro | Psychologist | 1889 Maple Ave Unit W2, Evanston, IL 60201-3169 | 2007-06-28 |
| 1790986313 | Katelyn S Varhely | Psychologist | 114 Kedzie St, Evanston, IL 60202-2510 | 2007-05-30 |
| 1073643102 | Susanne Streicker | Psychologist | 607 Lake St, Evanston, IL 60201-4412 | 2007-03-07 |
| Find all providers in EVANSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.