Kim Fuller, PH.D.

Psychologist · Coral Gables, FL

Individual Active NPI

NPI number 1750379996

Practice location

5665 Ponce De Leon Blvd
Room 213
Coral Gables, FL 33146-2510
Phone
(305) 284-6874
Fax
(305) 284-1700

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NPI record

NPI
1750379996
Entity type
Individual (Type 1)
Enumeration date
October 12, 2005
Last updated
July 13, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychologist Primary 103T00000X PY4602 FL
Clinical Psychologist 103TC0700X PY4602 FL

About Dr. Fuller

Kim Fuller, PH.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 5665 Ponce De Leon Blvd, Room 213, Coral Gables, FL 33146-2510. The NPI number 1750379996 was assigned on October 12, 2005 and the record was last updated on July 13, 2026.

Dr. Fuller lists 2 licenses in the registry: #PY4602 (FL) for Psychologist; #PY4602 (FL) for Clinical Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kim Fuller, PH.D.?

The NPI number is 1750379996.

What is the phone number of Dr. Fuller?

The phone number listed for the practice location is (305) 284-6874.

Where is Dr. Fuller located?

5665 Ponce De Leon Blvd, Room 213, Coral Gables, FL 33146-2510.

What is the taxonomy code for Dr. Fuller?

The primary taxonomy code is 103T00000X – Psychologist; 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.

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