RICHARD DANIEL FULLER (PHD) – Clinical Neuropsychologist, NPI 1578572947
Clinical Neuropsychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
75 CLINICAL PSYCHOLOGIST in AK
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Provider Addresses for RICHARD DANIEL FULLER (PHD)
PO BOX 92303
ANCHORAGE, AK 995092303
Phone: (907) 561-0552
Fax: (907) 561-0562
Type: Mailing
Law Office of Dattan Scott Dattan, 2600, Denali Street, Anchorage, Alaska, 99503, United States
SUITE 450
ANCHORAGE, AK 995032746
Phone: (907) 561-0552
Fax: (907) 561-0562
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-12-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20061214000083 | I | Clinical Psychologist | AK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 96139 | Administration of psychological or neuropsychological test by technician, each additional 30 minutes | 159 | 16 | $0 |
| 96133 | Evaluation of neuropsychological test, each additional hour | 110 | 17 | $0 |
| 96132 | Evaluation of neuropsychological test, first hour | 39 | 17 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 18 | 16 | $0 |
| 96138 | Administration of psychological or neuropsychological test by technician, first 30 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 99509)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHOLOGIST, CLINICAL | AK | 96118 | Neuropsychological testing, interpretation, and report by psychologist or physician per hour | 95 | 13 |
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