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

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