Gloria Yunchung Fallon, PMHCNS-BC

Primary specialty

Child & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0807X

License

242835 Issued in MA

Practice address

5A Wilson St
Natick, MA 01760-4796

Phone

(781) 886-8028

NPI assigned

Feb 14, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Gloria Yunchung Chang Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1013185701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5A WILSON ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017604796",
            "telephone_number": "508-333-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5A WILSON ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017604796",
            "telephone_number": "781-886-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLON",
        "first_name": "GLORIA",
        "middle_name": "YUNCHUNG",
        "name_prefix": "Mrs.",
        "credential": "PMHCNS-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-14",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0807X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "MA",
            "license": "242835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLORIA",
            "last_name": "CHANG",
            "middle_name": "YUNCHUNG",
            "prefix": "MISS",
            "credential": "PMHCNS-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachel Kay Evans, RPT
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• Valerie Sophia Everett, PHD
• Alyson Fainbarg
• Susan Fairchild, LMHC
• Family Haven Home Care Services LLC
• Family Haven Home Care Services LLC
• Wenyu Fan
• Zongjing Fan
• Bridget Faria

• Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in Natick, MA
• Providers in Natick, MA by specialty
• Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.