Deronte Fullerton

Case Manager/Care Coordinator · Willoughby Hills, OH

Individual Active NPI

NPI number 1497528236

Practice location

2785 Som Center Rd
Willoughby Hills, OH 44094-6501
Phone
(216) 278-0288

Open in Google Maps

NPI record

NPI
1497528236
Entity type
Individual (Type 1)
Enumeration date
November 2, 2023
Last updated
April 11, 2025
Certified
April 11, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —
Behavior Technician 106S00000X — —

Mailing address

92 E 219TH St
Euclid, OH 44123-1102
Phone
(216) 703-0348

Other practice locations (1)

  • 17325 Euclid Ave Ste 4012, Cleveland, OH 44112-1262 · (216) 438-3349

About Deronte Fullerton

Deronte Fullerton is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 2785 Som Center Rd, Willoughby Hills, OH 44094-6501. The NPI number 1497528236 was assigned on November 2, 2023 and the record was last updated on April 11, 2025.

Frequently asked questions

What is the NPI number of Deronte Fullerton?

The NPI number is 1497528236.

What is the phone number of Deronte Fullerton?

The phone number listed for the practice location is (216) 278-0288.

Where is Deronte Fullerton located?

2785 Som Center Rd, Willoughby Hills, OH 44094-6501.

What is the taxonomy code for Deronte Fullerton?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Case Manager/Care Coordinator providers in Willoughby Hills

All Case Manager/Care Coordinator providers in Willoughby Hills, OH →