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Russell Fuller, PSY.D.
NPI 1912336413 · Clinical Psychologist · La Jolla, CA
Russell Fuller, PSY.D. is a Clinical Psychologist provider in La Jolla, CA (NPI 1912336413).
Provider details
- NPI number
- 1912336413
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Male
- Sole proprietor
- No
- License
- PSY16530 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4225 Executive Sq
Suite 1110
La Jolla, CA 92037-9122
Phone: (858) 558-7707
Fax: (858) 558-7708
Street-level locationGet directions
Mailing address
4225 Executive Sq
La Jolla, CA 92037-9122
Registry dates
- Enumerated
- 2013-11-05
- Last updated
- 2013-11-05
Frequently asked questions
- What is Russell Fuller's NPI number?
- Russell Fuller's National Provider Identifier (NPI) is 1912336413, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Russell Fuller's specialty?
- Russell Fuller is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Russell Fuller located?
- Russell Fuller's practice location on file with NPPES is 4225 Executive Sq, La Jolla, CA 92037-9122.
- What is Russell Fuller's phone number?
- The practice phone number listed in the NPPES registry for Russell Fuller is (858) 558-7707.
- Is Russell Fuller's NPI active?
- Yes — Russell Fuller's NPI (1912336413) is active in the NPPES registry as of the last update on 2013-11-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.