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

Individual provider Psychologist · NPI 1871712653

J. Ryan Fuller, PHD is a Psychologist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
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

909 Third Ave Ste 505 New York Behavioral Health
New York, NY 10022
Phone: (646) 495-3078
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 017108 (NY)

Record details

NPI number1871712653
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedApril 24, 2007
Last updated in NPPESAugust 20, 2009

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