NPPES file of Aug 9, 2026

Jordan S. Fuller, PHD

Psychologist · Kansas City, MO

Jordan S. Fuller, PHD is a psychologist with a practice address in Kansas City, Missouri, and NPI 1093598484, issued on Aug 17, 2023. Check the license with the Missouri board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1093598484
Name
Jordan S. Fuller
Credential
PHD
Primary taxonomy
Psychologist 103T00000X
License number
6301019267 MI
Self-reported in NPPES; status is on the state search
Practice location
3011 Baltimore Ave, Kansas City, MO 64108
Phone
(159) 874-6836
Enumerated
Aug 17, 2023
Record last updated
Aug 17, 2023
Medicare enrollment
Enrolled (PECOS I20240311002544); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

8 nearest psychologist records → All 579 in Missouri → Look up another NPI →

Also registered at 3011 Baltimore Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Reilly Betrram, DPTPhysical Therapist1700692522
  2. Lisa Daberkow Stalp, PHDPsychologist1063603561
  3. Tonya Dean, LMSWSocial Worker1417785130
  4. Kara Hoegerl, OTR/LPediatric Occupational Therapist1356816292
  5. Zoe Nason, OTR/LPhysical Rehabilitation Occupational Therapist1033008776
  6. Ferzeen Patel, PSY.D.Clinical Psychologist1295190320

Verify Jordan S. Fuller in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Missouri board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Missouri license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Ability KCKansas City, MO

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Jordan S. Fuller among 579 psychologist records in Missouri

Jordan S. Fuller, PHD is one of 579 psychologist records with a practice address in Missouri. 13% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2023, is newer than 94% of them.

  • NPI issued2023 · 94% of these records are older, 5% newer
  • In a Medicare fileYes · 13% of these records are
  • In the CMS Doctors and Clinicians fileYes · 20% of these records are
  • Graduated2023 · median 1999 among the 114 with a school on file
  • Record last updated2023 · 68% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103T00000X and a Missouri practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Psychologist providers in Missouri

There are 579 psychologist records in Missouri.

All 579 in Missouri → Every provider in Kansas City → Psychologist nationwide →

The 8 psychologist records with the nearest ZIP codes

  1. Timothy Apodaca, PH.D.Kansas City, MO 641081184752784
  2. Lisa Daberkow Stalp, PHDKansas City, MO 641081063603561
  3. Mirae FornanderKansas City, MO 641081265061766
  4. Queen Hill, LPKansas City, MO 641081235374992
  5. Caitlyn Maye, PHDKansas City, MO 641081588465231
  6. Michael McDaniel, PSY.D.Kansas City, MO 641081215135694
  7. Jakob Nelson, MA, PHDKansas City, MO 641081043353717
  8. Jennifer Osborne, PH.D.Kansas City, MO 641081770753857

Common questions

What is Jordan S. Fuller, PHD's NPI number?

Jordan S. Fuller, PHD's National Provider Identifier (NPI) is 1093598484, issued on Aug 17, 2023. An NPI identifies a provider in billing; it is not a license.

Where is Jordan S. Fuller, PHD located?

The NPPES record lists a practice address at 3011 Baltimore Ave, Kansas City, MO, 64108. Phone: (159) 874-6836. Providers update this record themselves, so call before visiting.

How can I verify Jordan S. Fuller, PHD's license?

Search the Missouri board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.