Active NPIIndividual provider

Ryan Fuller

Counselor, Mental Health in Middletown, New York

NPI Number1679407456
Practice location
466 E Main St, Middletown, NY 10940-2534
Fax
—
Last updated
June 9, 2026

Ryan Fuller is a Counselor, Mental Health based in Middletown, NY. Ryan Fuller practices in Middletown, NY. The NPI Number for Ryan Fuller is 1679407456 and holds a License No. 018022 (NY). The current practice location address for Ryan Fuller is 466 E Main St, Middletown, NY 10940-2534 and can be reached out via phone at 845-843-6400.

Provider Profile Details

NPI Number
1679407456
Provider Name
Ryan Fuller
Provider Entity Type
Individual
Gender
Male
Address
466 E Main St, Middletown, NY 10940-2534
Phone Number
845-843-6400
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
June 9, 2026
Last Update Date
June 9, 2026
Certification Date
June 9, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
466 E Main St
Middletown, NY 10940-2534
Zip
10940-2534
Phone Number
845-843-6400
Middletown, NY 10940Get directions →

Provider Business Mailing Address Details

Address
466 E Main St
Middletown, NY 10940-2534
City
Middletown
State
NY
Zip
10940-2534

License Information

License Number
018022
License State
NY
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ryan Fuller?

The NPI number of Ryan Fuller is 1679407456. It was assigned on June 9, 2026 and is currently active in the NPPES registry.

What is the specialty of Ryan Fuller?

Ryan Fuller is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NY under license number 018022.

Where does Ryan Fuller practice?

The practice location is 466 E Main St, Middletown, NY 10940-2534. The office can be reached at 845-843-6400 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679407456 directly on the NPPES registry website.

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