Active NPI
Gerald F. Falls, PHD
- Clinical Psychologist
- Tallahassee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY0003703
- Practice address
- 1922 Willow Run Dr
Tallahassee, FL 32312-3732 - Phone
- (850) 443-5936
- Fax
- (850) 893-4387
- NPI assigned
- Mar 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY001085 | GA | |
| Clinical Psychologist | 103TC0700X | 588 | AL | |
| Clinical Psychologist | 103TC0700X | PY0003703 | FL | Primary |
Addresses
Primary practice location
1922 Willow Run Dr
Tallahassee, FL 32312-3732
Mailing address
1922 Willow Run Dr
Tallahassee, FL 32312-3732
Phone (850) 443-5936
Other practice location 1
1506 Kay Ln NE
Atlanta, GA 30306-2108
Phone (850) 443-5936
Other practice location 2
1083 Webster Rd
Quitman, GA 31643-6163
Phone (850) 443-5936
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021186 | Other | GA | TRICARE |
| 52428441001 | Other | GA | BLUECROSS BLUESHIELD-GA |
| 217945784 | Other | GA | UNITED BEHAVIORAL HEALTH |
| 00450755A | Medicaid | GA | |
| 021186 | Other | GA | VALUEOPTIONS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1922 Willow Run Dr
Tallahassee, FL 32312-3732
Phone (850) 443-5936
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY0003703 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cotler Healthcare & Development Inc. | Clinical | Current | Accepting new patients |
Locations
901 S 62nd Ave
Hollywood, FL 33023
Phone (954) 893-0109
9835 Lake Worth Rd
Ste 16179
Lake Worth, FL 33467
1329 Abraham St
Tallahassee, FL 32304
Phone (850) 224-8486
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wellington, FL
- NPI 1225075047
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696377600000",
"number": "1104887512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1922 WILLOW RUN DR",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323123732",
"telephone_number": "850-443-5936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1922 WILLOW RUN DR",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323123732",
"telephone_number": "850-443-5936",
"fax_number": "850-893-4387"
}
],
"practiceLocations": [
{
"address_1": "1506 Kay Ln NE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303062108",
"country_code": "US",
"telephone_number": "850-443-5936",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1083 Webster Rd",
"address_purpose": "LOCATION",
"city": "Quitman",
"state": "GA",
"postal_code": "316436163",
"country_code": "US",
"telephone_number": "850-443-5936",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FALLS",
"first_name": "GERALD",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2023-10-04",
"certification_date": "2023-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "PSY001085",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AL",
"license": "588",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY0003703",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "021186",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD-GA",
"identifier": "52428441001",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "217945784",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00450755A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS",
"identifier": "021186",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.