Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Constance Fullwood, PHNL, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner in Long Island City, NY · enumerated 2021 · practices at Community Healthcare Network, Inc..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1134798663

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Registry record

Entity type Individual (Type 1)

Name Dr. Constance Fullwood

Credential PHNL, PMHNP-BC

Sex Female

Practice address Long Island City, NY, 11106

Phone (718) 482-7772

Fax (718) 482-9648

Enumeration date Jun 19, 2021

Last updated in NPPES Nov 1, 2024

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License RN250856 (MA) Secondary

363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License F405449-01 (NY) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Constance Fullwood practice?

The practice location on file with NPPES is in Long Island City, NY. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Constance Fullwood?

The National Provider Identifier (NPI) for Constance Fullwood is 1134798663, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-11-01.