Santiago Fallon, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH7320 Issued in FL

Practice address

1385 W State Road 434
Suite 103
Longwood, FL 32750-6871

Phone

(407) 462-6133

Fax

(407) 332-6226

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Longwood Foot & Ankle Physician PA

  • Foot & Ankle Surgery Podiatrist
  • Longwood, FL
  • NPI 1942495445
  NPD (past)
• Melissa C Verde DPM PA

  • Primary Podiatric Medicine Podiatrist
  • Longwood, FL
  • NPI 1447206982
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1043360951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E. PANAMA RD.",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "32708",
            "telephone_number": "407-462-6133",
            "fax_number": "407-332-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 W STATE ROAD 434",
            "address_2": "SUITE 103",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327506871",
            "telephone_number": "407-462-6133",
            "fax_number": "407-332-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLON",
        "first_name": "SANTIAGO",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7647107 00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• F.S.T. LLC
• Jack Facundus, ARNP
• Staci L Faenza-Seward, MS
• Abrahim Fahs, DO
• Rachel Falkner Penn
• Family Chiropractic of Central Florida
• Family Helpers, Inc.
• Family Medicine Solutions, P. a.
• Christopher Allan Fankboner, ARNP
• Joan M Farmer, ARNP

• Mental Health Counselor in Longwood, FL
• Providers in Longwood, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.