Dan J Fulk , LICENSED CLINICAL PR
Psychologist - Counseling • Decatur, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dan Fulk has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dan Fulk, LICENSED CLINICAL PR was a registered Psychologist - Counseling practicing in Decatur, IL. Throughout an active medical career spanning 11 years, Dan Fulk provided care at the practice location at 1770 E LAKE SHORE DR until profile deactivation on 2017-03-20.
Practice Location & Contact Primary Location
1770 E Lake Shore Dr
Suite 208
Decatur, IL 62521
Specialty Benchmarks & Practice Insights
Comparative analytics for Psychologist - Counseling in Decatur, IL
Practicing in Decatur, IL (124 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 103TC1900X
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Social Worker - Clinical
Licensed Clinical Social Worker, Certified Alcohol and Drug Counselor
Counselor - Professional
MALCPC
Counselor - Mental Health
Doctor of Medicine (M.D.)
Counselor - Professional
Licensed Clinical Professional Counselor
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 20, 2017
NPI status registered as active in NPPES database
Registered at 1770 E LAKE SHORE DR, SUITE 208, DECATUR, IL 62521 (Tel: 2174281900)
Registered at 1770 E LAKE SHORE DR, SUITE 208, DECATUR, IL 62521 (Tel: 2174281900)
Recorded as DAN FULK, LICENSED CLINICAL PR
Psychologist
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1770 E Lake Shore Dr, Suite 208
Decatur, IL 62521
Phone: 2174281900
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