Individual provider Active NPI

Rachel Fallig, PSY.D.

  • Clinical Psychologist
  • Philadelphia, PA
National Provider Identifier
1053755199
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS019316 Issued in PA
Practice address
700 S 7TH St # 124
Philadelphia, PA 19147-2119
Phone
(267) 606-0127
NPI assigned
Apr 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS019316 PA Primary

Addresses

Primary practice location

700 S 7TH St # 124
Philadelphia, PA 19147-2119

Mailing address

700 S 7TH St # 124
Philadelphia, PA 19147-2119
Phone (267) 606-0127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PS019316PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Philapsy PLLC Clinical CurrentSince Sep 1, 2021 Accepting new patients

Locations

700 S 7th St
Philadelphia, PA 19147
Phone (267) 606-0127

255 S 17th St
Ste 1904
Philadelphia, PA 19103
Phone (215) 546-5338

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1053755199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S 7TH ST # 124",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191472119",
            "telephone_number": "267-606-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S 7TH ST # 124",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191472119",
            "telephone_number": "267-606-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLIG",
        "first_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-19",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS019316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.