CHRISTINE FULTYN


Address: 1900 W Sunshine St, Springfield, MO 65807-2240
Phone: (417) 862-7041

CHRISTINE FULTYN (NPI# 1427574904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427574904
Entity Type Individual
Full Name CHRISTINE FULTYN
Credential PSYD
Practice Address 1900 W Sunshine St
Springfield
MO 65807-2240
Practice Telephone (417) 862-7041
Mailing Telephone 4178627041
Enumeration Date 2017-08-16
Last Update Date 2017-08-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PY9490 FL Behavioral Health & Social Service Providers

Office Location

Street Address 1900 W SUNSHINE ST
City SPRINGFIELD
State MO
Zip Code 65807-2240

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033115811 Christine Ann Nemeti Social Worker 1900 W Sunshine St, Springfield, MO 65807-2240 2005-06-24
1891315032 Steven Michael Dillman Social Worker 1900 W Sunshine St, Springfield, MO 65807-2240 2020-04-17
1851878714 Chelsea Brieman Psychologist 1900 W Sunshine St, Springfield, MO 65807-2240 2018-07-24
1912435652 Christine Arielle Tebbe Pharmacist 1900 W Sunshine St, Springfield, MO 65807-2240 2017-05-25
1134669856 Caroline Grace Dotson Social Worker 1900 W Sunshine St, Springfield, MO 65807-2240 2017-02-28
1346525292 Ernesto Madayag Gapasin Sr. Surgery 1900 W Sunshine St, Springfield, MO 65807-2240 2011-10-11
1982830501 Alison Mcgee Nelson Dentist 1900 W Sunshine St, Springfield, MO 65807-2240 2009-06-10
1952569030 James Kenneth Wolfson Psychiatry & Neurology 1900 W Sunshine St, Us Medical Center for Federal Prisoners, Springfield, MO 65807-2240 2008-05-27
1518150499 Us Medical Center for Federal Prisoners Special Hospital 1900 W Sunshine St, Springfield, MO 65807-2240 2007-08-23
1750574976 Ben Glidewell Pharmacist 1900 W Sunshine St, Springfield, MO 65807-2240 2007-08-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396390241 Karley Kassandra Murphy Counselor 3734 South Ave #c, Springfield, MO 65807 2019-08-07
1396203626 Auvia L Logan Dietitian, Registered 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 2019-03-05
1598250961 Kathryn Barber Nurse Practitioner 3800 S National Ave Ste 700, Springfield, MO 65807 2018-06-27
1447764899 Missouri Midwifery Service Clinic/Center 3840 South Avenue, Springfield, MO 65807 2017-11-21
1124530290 Senior Living Management Group, LLC Skilled Nursing Facility 3705 S Jefferson Ave, Springfield, MO 65807 2017-10-30
1740663335 Sarah E Kirk Physical Therapist 3545 S. National Ave, Springfield, MO 65807 2015-07-01
1750713335 Amanda Ward Nurse Practitioner 2150 W Republic Rd Ste 112, Springfield, MO 65807 2013-08-06
1932531126 Eugenia R Cortez Counselor 2124 Chesterfield Blvd., Springfield, MO 65807 2013-07-30
1962742866 Missouri Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 3045 W Republic St, Springfield, MO 65807 2013-03-01
1033462387 Miguel Angel Medina Physician Assistant 1900 South Sunshine Ave., Springfield, MO 65807 2012-10-24
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1710509187 Laura M Maggio Psychologist 11 Stephanie Cir, Springfield, MA 01129-1961 2020-05-08
1215556386 Lotus Healing Center LLC Psychologist 28 Millburn Ave Ste 6, Springfield, NJ 07081-1023 2020-04-09
1194359216 Kathrin A Koehler Psychologist 4674 Hominy Ridge Rd, Springfield, OH 45502-8031 2020-02-27
1689126120 Assessment Consultants, LLC Psychologist 2146 W Chesterfield Blvd Ste E202, Springfield, MO 65807-8650 2016-11-01
1003366436 Caitriona Hayes Psychologist 8134 Old Keene Mill Road, Suite 101, Springfield, VA 22152 2016-10-10
1669929907 Richart Lipe Demier Psychologist 5871 S Northern Ridge Rd, Springfield, MO 65810-1976 2016-09-03
1043660905 Safe Harbor Christian Counseling of Northern Virginia LLC Psychologist 8304 Old Keene Mill Rd, Springfield, VA 22152-1640 2016-06-21
1659786432 Kimberly Wilkins Psyd LLC Psychologist 1344 W Oakville Rd, Springfield, MO 65810-1696 2014-06-30
1548507817 Bahn and Associates Psychologist 3000 Professional Dr Ste D, Bahn Consulting, Inc., Springfield, IL 62703-5931 2013-01-07
1396004990 Cultivate Psychological Services LLC Psychologist 1439 S Rogers Ave, Springfield, MO 65804-1129 2012-05-16
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Competitor

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City SPRINGFIELD
Zip Code 65807

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Dataset Information

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.

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