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

Mr. Brian Jay Fuller, PHD

Individual provider Psychologist · NPI 1942258595

Mr. Brian Jay Fuller, PHD is a Psychologist in Portage, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
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

1662 E Centre Ave
Portage, MI 49002-4410
Phone: (269) 321-8564
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6301013172 (MI)

Record details

NPI number1942258595
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedMay 5, 2006
Last updated in NPPESJune 19, 2012
Mailing address5340 Holiday Ter, Kalamazoo, MI 49009-2196

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