Fuller Diagnostics, Llc is a Clinical Social Worker based in Anchorage, AK and is specialized in Clinical. Fuller Diagnostics, Llc practices in Anchorage, AK. The NPI Number for Fuller Diagnostics, Llc is 1326152711 and holds a License No. (Alaska).
The current practice location address for Fuller Diagnostics, Llc is 2600 Denali St, Anchorage, AK and can be reached out via phone at 907-561-0552 and via fax at 907-561-0562. You can also correspond with Fuller Diagnostics, Llc through the mailing address at PO BOX 92303, ANCHORAGE, AK - 99509-2303 (mailing address contact number: 907-561-0552).
Location: 2600 Denali St, Anchorage, AK, 99509-2303
Provider Profile Details
NPI Number
1326152711
Provider Name
Fuller Diagnostics, Llc
Credential
Provider Entity Type
Organization
Address
2600 Denali St, Anchorage, AK, 99509-2303
Phone Number
907-561-0552
Fax Number
907-561-0562
Provider Enumeration Date
08/19/2006
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 441 | 01 | AK | STATE LICENSE RICHARD FULLER |
| 1194029488 | 01 | NPI KRISTA PEMBERTON LCSW | |
| PS8574 | 05 | AK | |
| PSG123 | 05 | AK | |
| 51470 | 01 | AK | NATNL REG-KRISTI FULLER |
| 51478 | 01 | AK | NATNL REG-RICHARD FULLER |
| 1700865029 | 01 | AK | NPI KRISTI FULLER |
| 1022 | 01 | AK | STATE LICENSE MAUREEN YOUNG |
| 1023 | 01 | AK | STATE LICENSE KRISTA PEMBERTON |
| 1578572947 | 01 | AK | NPI RICHARD FULLER |
| 1821392119 | 01 | NPI MAUREEN YOUNG LCSW | |
| PS04411 | 05 | AK | |
| 436 | 01 | AK | STATE LICENSE KRISTI FULLER |
Provider Business Practice Location Address Details
Address
2600 Denali St
City
State
Zip
99503-2746
Phone Number
907-561-0552
Fax Number
907-561-0562
Provider Business Mailing Address Details
Address
Po Box 92303
City
State
Zip
99509-2303
Phone Number
907-561-0552
Fax Number
907-561-0562
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Clinical Neuropsychologist
Speciality
-
Taxonomy
License No.
1022 (Alaska)
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
License No.
()
Definition
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.
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Cognitive & Behavioral
Taxonomy
License No.
()
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
License No.
()
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Provider's Taxonomy Details 5
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical Child & Adolescent
Taxonomy
License No.
()
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Provider's Taxonomy Details 6
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Forensic
Taxonomy
License No.
()
Definition
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
Provider's Taxonomy Details 7
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Intellectual & Developmental Disabilities
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 8
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Group Psychotherapy
Taxonomy
License No.
()
Definition
A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.
Provider's Taxonomy Details 9
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
License No.
()
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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