Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1942258595 Individual Practitioner Male Practitioner

Dr. Brian Jay Fuller , PhD

Psychologist • Portage, MI

Professional Overview & Biography Verified Profile Summary

Dr. Brian Fuller, PhD is a registered healthcare professional specializing in Psychologist in Portage, MI. Practice services are available at 1662 E CENTRE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1662 E Centre Ave

Portage, MI 490024410

Telephone 2693218564
Associated Practice Facility / Clinic
🏢 Perspectives Of Troy, Pc Facility NPI 1144800855

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Portage, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.3 Yrs
State Avg: 26.4 Yrs
Regional Practice Density
30 Specialists

Practicing in Portage, MI (2669 Statewide)

Telehealth Adoption Rate
6.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MI 6301013172

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Sheri Heflin , MA, LLP

Psychologist - Counseling

NPI 1144433756

Master of Arts, Licensed Limited Psychologist

NPI 1174872881

Master of Arts

NPI 1396721247

Doctor of Education (Ed.D.)

Michele Mcgrady

Psychologist - Counseling

NPI 1518244011
Sharyl St. John , LMSW

Social Worker - Clinical

NPI 1528044765

Licensed Master Social Worker

Shannon Hilton-Smith , MA, LLP

Psychologist - Clinical

NPI 1578603957

Master of Arts, Licensed Limited Psychologist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 19, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location June 19, 2012

Registered at 1662 E CENTRE AVE, PORTAGE, MI 490024410 (Tel: 2693218564)

📍
Updated Business Mailing Address June 19, 2012

Registered at 5340 HOLIDAY TER, KALAMAZOO, MI 490092196 (Tel: 2693218564)

👤
Provider Name / Credentials Updated June 19, 2012

Recorded as BRIAN FULLER, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2012

Psychologist (License #6301013172 in MI)

🟢
Initial NPI Registration & Enumeration May 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1942258595
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 05, 2006
Last Update: June 19, 2012
Sole Proprietor: Yes

Mailing Address

5340 Holiday Ter

Kalamazoo, MI 490092196

Phone: 2693218564

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.