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FULLER THEOLOGICAL SEMINARY NPI 1013126036


NPI Information

NPI: 1013126036
Provider Name: FULLER THEOLOGICAL SEMINARY

Doing Business As: FULLER PSYCHOLOGICAL AND FAMILY SERVICES

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
180 NORTH OAKLAND AVENUE
PASADENA, CA
ZIP 91101
Phone: (626) 584-5555
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FULLER THEOLOGICAL SEMINARY is a community behavioral health in Pasadena, CA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. FULLER THEOLOGICAL SEMINARY NPI is 1013126036. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Fuller Psychological And Family Services.

The provider's business location address is:

180 NORTH OAKLAND AVENUE
PASADENA, CA
ZIP 91101-714
Phone: (626) 584-5555
Fax: (626) 584-5558

The provider's authorized official is Theopolis Cosse .
The authorized official title is Executive Director and has the following contact phone number (626) 584-5566.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 10/13/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1102L00000XPsychoanalystNo
2101YM0800XCounselorMental HealthCALIFORNIANo
3103G00000XClinical NeuropsychologistNo
4103T00000XPsychologistCALIFORNIANo
5103TC0700XPsychologistClinicalNo
6103TP2701XPsychologistGroup PsychotherapyNo
7106H00000XMarriage & Family TherapistCALIFORNIANo
8101YP1600XCounselorPastoralNo
9251S00000XCommunity/Behavioral HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.