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

Dr. Kayleen M Fuller, PHD

Individual provider Clinical Psychologist · NPI 1073552402

Dr. Kayleen M Fuller, PHD is a Clinical Psychologist in Sandy, Utah. Qualified in 2000, 26 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
26
Licensed in
UT
In the registry since
2006
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

8706 S 700 E Ste 103
Sandy, UT 84070-1808
Phone: (801) 652-2720
Fax: (801) 606-7738
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2666 S 2000 E Ste 101, Slc, UT 84109-1721 — (801) 652-2720

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 200419-2501 (UT)

Record details

NPI number1073552402
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 4, 2006
Last updated in NPPESApril 18, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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