DR. ELISA J. FULLER (NPI# 1659655017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659655017 |
| Entity Type | Individual |
| Full Name | DR. ELISA J. FULLER |
| Credential | M.D. |
| Practice Address |
8035 N 85th Way Scottsdale AZ 85258-4321 |
| Practice Telephone | 4803049234 |
| Practice Fax Number | 4809072011 |
| Mailing Telephone | 4803049234 |
| Mailing Fax Number | 4809072011 |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2011-10-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
25928 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
8035 N 85TH WAY |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85258-4321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972591246 | Pamela Willson | Psychologist | 8035 N 85th Way, Scottsdale, AZ 85258-4321 | 2005-10-11 |
| 1013249192 | Cheryl Soozi Bolte | Counselor | 8035 N 85th Way, Scottsdale, AZ 85258-4321 | 2010-02-01 |
| 1053551861 | Matthew James Horne | Pathology | 8035 N 85th Way, Scottsdale, AZ 85258-4321 | 2009-03-06 |
| 1225027147 | Integrated Geriatric Behavioral Health Associates, P.a. | Social Worker | 8035 N 85th Way, Scottsdale, AZ 85258-4321 | 2005-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302790 | Vhs Outpatient Clinics, Inc. | Durable Medical Equipment & Medical Supplies | 8630 E Via Venture, Ste 201, Scottsdale, AZ 85258 | 2020-09-25 |
| 1790396943 | Arielle Dawne Bohorquez | Registered Nurse | 10466 N 74th Street Suite 150, Scottsdale, AZ 85258 | 2020-08-12 |
| 1487272795 | Orthopedic Specialists of North America, Pllc | Clinic/Center | 8405 N Pima Center Parkway, Scottsdale, AZ 85258 | 2020-07-13 |
| 1649819475 | Therapy With Heart | Marriage & Family Therapist | 8737 E. Via De Commercio, Suite 200, Scottsdale, AZ 85258 | 2019-12-26 |
| 1184190688 | Amy Marie Burke | Clinical Nurse Specialist | 9201 E. Moutain View Rd #220, Scottsdale, AZ 85258 | 2018-10-23 |
| 1154806446 | Cook Family Healthcare & Professional Services, PC | Clinic/Center | 9700 N. 91st. Street, Ste. A-115, Scottsdlae, AZ 85258 | 2018-10-02 |
| 1801378377 | Michelle Marie Kometh | Social Worker | 9449 N 90th St Suite 205, Scottsdale, AZ 85258 | 2018-08-31 |
| 1275028862 | Sarah Maria Goff | Dentist | 8390 E Via De Ventura Ste F200, Scottsdale, AZ 85258 | 2018-06-26 |
| 1508353582 | Brittany Rose Carey | Nurse Practitioner | Matrix Medical Network, 9201 E Mountain View Rd # 220, Scottsdale, AZ 85258 | 2018-04-16 |
| 1760984215 | Ascension Medical LLC | Psychiatry & Neurology | 9590 E Ironwood Sq Suite 210, Scottsdale, AZ 85258 | 2018-03-01 |
| Find all providers in zip 85258 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881257970 | Wellpsyche Scottsdale PC | Psychiatry & Neurology | 7150 E Camelback Rd Ste 422, Scottsdale, AZ 85251-1200 | 2019-04-15 |
| 1598164675 | Focus Therapeutics, LLC | Psychiatry & Neurology | 6835 East Camelback Road, Suite B13, Scottsdale, AZ 85251 | 2014-08-14 |
| 1316160476 | Patricia M Tagle Levy | Psychiatry & Neurology | 7510 E First St, Scottsdale, AZ 85251 | 2007-04-10 |
| 1326036427 | Kenneth James Zwier | Psychiatry & Neurology | 7432 E Camelback Rd, Scottsdale, AZ 85251-3509 | 2005-10-12 |
| 1962848309 | Valley Neurobehavioral Institute Pllc | Psychiatry & Neurology | 9831 E Bell Rd, Scottsdale, AZ 85260-2350 | 2013-05-13 |
| 1952697203 | Nowlin Psychiatric Clinic, P.C. | Psychiatry & Neurology | 8414 E Shea Blvd, Suite 102, Scottsdale, AZ 85260-6665 | 2011-06-24 |
| 1164686283 | Tanya Susan Feinberg | Psychiatry & Neurology | 7400 E Pinnacle Peak Rd, Suite 206, Scottsdale, AZ 85255-3592 | 2008-07-17 |
| 1013125897 | Family Mental Health Associates, Ltd. | Psychiatry & Neurology | 7510 E 1st St, Scottsdale, AZ 85251-4502 | 2007-05-18 |
| 1518000199 | Linda Kalivas | Psychiatry & Neurology | 7510 E 1st St, Scottsdale, AZ 85251-4502 | 2007-02-14 |
| 1710027339 | Richard M. Spiegel | Psychiatry & Neurology | 7510 E 1st St, Scottsdale, AZ 85251-4502 | 2007-02-07 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85258 |
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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.