DR. RANDY FULTON (NPI# 1568898823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568898823 |
| Entity Type | Individual |
| Full Name | DR. RANDY FULTON |
| Credential | PSY.D |
| Practice Address |
100 N Academy Ave Gmc, Division of Psychiatry Danville PA 17822-1335 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-4903 |
| Practice Telephone | 5702716516 |
| Mailing Telephone | 5702716144 |
| Mailing Fax Number | 5702716578 |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2020-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PS017826 | PA | Behavioral Health & Social Service Providers |
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers |
| Street Address |
100 N ACADEMY AVE GMC, DIVISION OF PSYCHIATRY |
| City | DANVILLE |
| State | PA |
| Zip Code | 17822-1335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495996 | David J Salinger | Radiology | 100 N Academy Ave, Danville, PA 17822-2385 | 2005-05-23 |
| 1467053751 | Geisinger Clinc | Advanced Practice Midwife | 100 N Academy Ave, Danville, PA 17822-4903 | 2020-11-04 |
| 1144829649 | Felicia Mazzoni Sweeney | Nurse Practitioner | 100 N Academy Ave, Danville, PA 17822-9800 | 2020-10-26 |
| 1013516988 | Julia Elizabeth Dawson | Audiologist | 100 N Academy Ave, Danville, PA 17822-0001 | 2020-10-21 |
| 1114525888 | Madelyn Elise Stabinski | Pharmacist | 100 N Academy Ave, Danville, PA 17822-0001 | 2020-10-14 |
| 1316545304 | Victor Theodore Mallory | Physician Assistant | 100 N Academy Ave, Danville, PA 17822-9800 | 2020-10-13 |
| 1578160412 | Allison Nicole Hamner | Pharmacist | 100 N Academy Ave, Danville, PA 17822-0001 | 2020-10-05 |
| 1891392064 | Kaitlyn Kishbaugh | Speech-Language Pathologist | 100 N Academy Ave, Danville, PA 17822-9800 | 2020-10-01 |
| 1174138150 | Anna Marie Cruz | Psychologist | 100 N Academy Ave, Geisinger Medical Center, Danville, PA 17822-1335 | 2020-09-15 |
| 1649884933 | Heather M Krohn | Nurse Anesthetist, Certified Registered | 100 N Academy Ave, Danville, PA 17822-9800 | 2020-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366062895 | Staci Lee Benoit | Student in an Organized Health Care Education/Training Program | 100 North Academy Avenue Geisinger Medical Center, Danville, PA 17822 | 2020-04-24 |
| 1275162018 | Kristena Yossef | Student in an Organized Health Care Education/Training Program | Geisinger Medical Center, 100 North Academy Avenue, Da, Danville, PA 17822 | 2020-04-03 |
| 1003470444 | Intekhab Askari Syed Ahmad Raza | Student in an Organized Health Care Education/Training Program | 100 North Academy Avenue, Geisinger Medical Center, Danville, PA 17822 | 2019-04-30 |
| 1841766334 | Sarah Louise Dearment | Counselor | Geisinger Medical Center: Department of Psychiatry, 100 N. Academy Avenue, Danville, PA 17822 | 2018-10-23 |
| 1548753908 | Josie Pervola | Genetic Counselor, MS | 100 N Academy Ave Mc-26-20, Danville, PA 17822 | 2018-06-11 |
| 1477059350 | Martha Niemiec | Counselor | Geisinger Medical Center Department of Psychiatry, 100 North Academy Avenue, Danville, PA 17822 | 2018-04-01 |
| 1730625450 | Nir Shimony | Neurological Surgery | 100 N. Academy Ave., Geisinger Medical Center, Neurosurgery Department, Danville, PA 17822 | 2017-01-19 |
| 1164877197 | Britta Hunter | Speech-Language Pathologist | 100 N. Academy Ave., Danville, PA 17822 | 2016-04-27 |
| 1891180725 | Zach Rottmann | Internal Medicine | Geisinger Medical Center, 100 North Academy Avenue, Danville, PA 17822 | 2015-03-30 |
| 1891063251 | John D Chakan | Pharmacist | 1000 S Second St, Sunbury, PA 17822 | 2011-12-13 |
| Find all providers in zip 17822 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497231666 | Julie Heier | Clinical Neuropsychologist | Department of Psychiatry 100 N Academy Ave, Danville, PA 17822-1335 | 2018-07-11 |
| 1699266189 | Eran Shlomo Auday | Clinical Neuropsychologist | 100 N Academy Ave Dept Of, Danville, PA 17822-1335 | 2018-05-21 |
| 1144494873 | Tara Kane | Clinical Neuropsychologist | Division of Psychiatry Geisinger Medical Ctr, 100 N. Academy Ave., Danville, PA 17822-1335 | 2008-04-14 |
| 1760031694 | Katherine Emily Kelley | Clinical Neuropsychologist | 100 N. Academy Ave, Department of Psychiatry, Geisinger Medical Center, Danville, PA 17822 | 2019-09-04 |
| 1518433143 | Liora Greenberg | Clinical Neuropsychologist | 100 N Academy Ave, Gmc Department of Psychiatry, Danville, PA 17822-1335 | 2018-10-22 |
| 1467947358 | Hilary Balum Hayhurst | Clinical Neuropsychologist | 100 N. Academy Ave, Department of Psychiatry, Danville, PA 17822-1335 | 2018-06-25 |
| 1760991301 | Hilary S Gallowaylong | Clinical Neuropsychologist | 100 N Academy Ave, Danville, PA 17822-9800 | 2017-09-27 |
| 1083926547 | Nicolae Dumitrascu | Clinical Neuropsychologist | 100 N Academy Ave, Geisinger Medical Center, Division of Psychiatry, Danville, PA 17822-1335 | 2010-07-12 |
| 1265602361 | Brad Mossbarger | Clinical Neuropsychologist | 202 Myers Rd, Danville, IN 46122-9702 | 2008-03-04 |
| 1033326459 | Clyde R Burch | Clinical Neuropsychologist | 931 Hartz Way, Suite 130, Danville, CA 94526-3465 | 2007-05-16 |
| Find all providers in DANVILLE | ||||
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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.