Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Adam K Fuller, PHD

Individual provider Clinical Psychologist · NPI 1255476131

Adam K Fuller, PHD is a Clinical Psychologist in Evanston, Wyoming. Qualified in 1994, 32 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
32
Licensed in
WY
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

191 Overthrust Rd
Evanston, WY 82930-9261
Phone: (435) 631-9918
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2078 Prospector Ave, Park City, UT 84060-7321 — (435) 631-9918

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 306 (WY)

Record details

NPI number1255476131
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedFebruary 20, 2007
Last updated in NPPESMarch 29, 2018
Mailing address235 Hayden Ave, Evanston, WY 82930-5606

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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