DR. ANDREW P FULLER (NPI# 1730478728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730478728 |
| Entity Type | Individual |
| Full Name | DR. ANDREW P FULLER |
| Credential | M.D. |
| Practice Address |
25 Carleton St E23-3 South Cambridge MA 02142-1323 |
| Practice Telephone | 6172532916 |
| Practice Fax Number | 6172530162 |
| Mailing Telephone | 6172532916 |
| Mailing Fax Number | 6172530162 |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2017-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
262015 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972130680 | Andrew Kent Fuller | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-03-24 |
| 1194138800 | Andrew Fuller | Community Health Worker | 2201 S 17th St, Lincoln, NE 68502-3713 | 2014-06-10 |
| 1518286541 | Andrew Dixon Fuller | Nurse Anesthetist, Certified Registered | 4100 Summerhill Rd, Texarkana, TX 75503-2732 | 2010-06-01 |
| 1770807786 | Andrew Joseph Fuller Sr. | Emergency Medicine | 100 Medical Center Dr, Slidell, LA 70461-5520 | 2010-03-19 |
| Street Address |
25 CARLETON ST E23-3 SOUTH |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02142-1323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770577926 | Brian David Marriott | Family Medicine | 25 Carleton St, E-23, Cambridge, MA 02142-1323 | 2005-09-02 |
| 1124672118 | Edward Nicholas Waller | Nurse Practitioner | 25 Carleton St, Cambridge, MA 02142-1323 | 2019-07-29 |
| 1326607680 | Jennifer Obrien | Psychologist | 25 Carleton St, Cambridge, MA 02142-1323 | 2019-06-11 |
| 1588133946 | Massachusetts Institute of Technology | Dentist | 25 Carleton St, Cambridge, MA 02142-1323 | 2018-11-15 |
| 1699104828 | Maureen Johnston | Nurse Practitioner | 25 Carleton St, E23, Cambridge, MA 02142-1323 | 2013-11-07 |
| 1427309905 | Maureen Dwyer Dobrowsky | Nurse Practitioner | 25 Carleton St, E23, Cambridge, MA 02142-1323 | 2012-09-25 |
| 1457607756 | Massachusetts Institute of Technology | Clinic/Center | 25 Carleton St, Cambridge, MA 02142-1323 | 2012-07-24 |
| 1689651267 | Austin Patrick Egan | Family Medicine | 25 Carleton St, Mit Medical, Cambridge, MA 02142-1323 | 2005-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851890776 | Pramod Soparkar | Dentist | The Forsyth Institute, 245 First St, Cambridge, MA 02142 | 2018-02-06 |
| 1720445331 | Ahmed Keles | Dentist | 245 First St Cambridge, 17th Floor, Cambridge, MA 02142 | 2016-01-27 |
| 1366842593 | Alexandra Penney | Dietitian, Registered | 215 First St, Cambridge, MA 02142 | 2014-08-25 |
| 1871737213 | Carmen R Bozic | Internal Medicine | Biogen Idec Inc., 14 Cambridge Center, Cambridge, MA 02142 | 2009-04-29 |
| 1326282765 | Tenley E Albright | Surgery | The Collaborative, Four Cambridge Center, Cambridge, MA 02142 | 2009-04-29 |
| 1467671248 | Frannie Renee Kronenberg | Internal Medicine | 15 Parkman Street, Ima/mgh, Suite 616 Wacc, Boston, MA 02142 | 2007-04-24 |
| 1992820799 | Mary Ann Asbell | General Practice | Genzyme, 500 Kendall Street, Cambridge, MA 02142 | 2007-03-20 |
| 1083743967 | Brian L Hamilton | Pediatrics | Merimack Pharmaceuticals, 101 Binney Street, Cambridge, MA 02142 | 2007-03-05 |
| 1659437481 | Dermot A O'rourke | Psychiatry & Neurology | Mit Clinical Research Center E17-445, 40 Ames Street, Cambridge, MA 02142 | 2006-12-28 |
| 1235238015 | Sumita Gokhale | Pathology | 9 Cambridge Ctr, Room 449, Whitehead Institute-biomedical Research, Cambridge, MA 02142 | 2006-09-21 |
| Find all providers in zip 02142 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819784 | Bluesky Telepsych, Inc. | Psychiatry & Neurology | 125 Cambridge Park Drive, Suite 306, Cambridge, MA 02140 | 2020-07-28 |
| 1336569599 | Whitney Carroll Mcfadden | Psychiatry & Neurology | 214 Chestnut St Apt 4, Cambridge, MA 02139-4640 | 2014-04-25 |
| 1235556614 | Elizabeth Janopaul-naylor | Psychiatry & Neurology | 1493 Cambridge St Macht Building, Cambridge Health Alliance, Cambridge, MA 02139-1047 | 2014-03-24 |
| 1902118045 | Ambalapetta Kodakkat Vasudevan | Psychiatry & Neurology | 320 Shipyard Drive, Lot 42, Cambridge, MD 21613-2460 | 2010-07-06 |
| 1538320056 | Jennifer M Neuwalder | Psychiatry & Neurology | 875 Massachusetts Ave Ste 45, Cambridge, MA 02139-3067 | 2008-06-18 |
| 1811165822 | Leah Joan Dickstein | Psychiatry & Neurology | 35 Walden St, Apt 2g, Cambridge, MA 02140-2047 | 2008-02-12 |
| 1053505297 | Carl B Nelson | Psychiatry & Neurology | 988 Memorial Dr, Apt 386, Cambridge, MA 02138-5784 | 2007-08-30 |
| 1952511065 | Jamie Lynn Feldman | Psychiatry & Neurology | 6 Garden Ter, Cambridge, MA 02138-1407 | 2007-05-23 |
| 1295953867 | Ariel David Otero | Psychiatry & Neurology | 205 Walden St, Apt 1a, Cambridge, MA 02140-3507 | 2007-04-20 |
| 1962626424 | Carola Eisenberg | Psychiatry & Neurology | 9 Clement Cir, Cambridge, MA 02138-2205 | 2007-04-13 |
| Find all providers in CAMBRIDGE | ||||
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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.