Adam K. Fuller, PH.D.
NPI 1255476131ActiveIndividual· Psychologist, Clinical· Evanston, WY
Psychologist, Clinical (PH.D.) in Evanston, Wyoming, licensed in WY, with an NPI issued in February 2007. Enrolled in Medicare as practitioner - clinical psychologist and practitioner - clinical psychologist.
Overview
| NPI | 1255476131 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | Feb 20, 2007 |
| Last updated in NPPES | Mar 29, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 306 | WY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (UT); Practitioner - Clinical Psychologist (WY) |
|---|
Education and affiliations
| Graduation year | 1994 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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