Kristine L Falco PSYD PC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

781 Issued in OR

Legal business name

KRISTINE L FALCO PSYD PC

Practice address

392 E Main Ave
Sisters, OR 97759-0000

Phone

(541) 480-4887

NPI assigned

Apr 26, 2010

Last updated

Apr 26, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kristine FalcoNPI 1205908472

Title

Clinical Psychologist

Phone

(541) 480-4887

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristine Lynn Falco, PSYD

  • Psychologist
  • Sisters, OR
  • NPI 1205908472
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272240000000",
    "number": "1013234319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1717",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977591717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 E MAIN AVE",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977590000",
            "telephone_number": "541-480-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINE L FALCO PSYD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-26",
        "last_updated": "2010-04-26",
        "status": "A",
        "authorized_official_last_name": "FALCO",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "541-480-4887",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "OR",
            "license": "781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avery Ketchum
• Martha Woolsey King
• Ida Kolodziejczyk
• Timothy Korm, PMHNP-BC
• Kristi Lyn Rhodes
• Cynthia D Kruse
• Sarah J Leet, P.A.
• Inger Johanne Lied, MD
• Justin Gerald Bixby Little, M.S., LMFT
• Luis Daniel Lopez, L.A.C.

• Adult Mental Health Clinic/Center in Sisters, OR
• Providers in Sisters, OR by specialty
• Adult Mental Health Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.