Individual provider Active NPI

Gerald F. Falls, PHD

  • Clinical Psychologist
  • Tallahassee, FL
National Provider Identifier
1104887512
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY0003703 Issued in FL
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

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
021186OtherGATRICARE
52428441001OtherGABLUECROSS BLUESHIELD-GA
217945784OtherGAUNITED BEHAVIORAL HEALTH
00450755AMedicaidGA
021186OtherGAVALUEOPTIONS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050728000584 GA Practitioner - Clinical Psychologist 4587692884 Practice locations: Thomasville, GA
I20221028001863 FL Practitioner - Clinical Psychologist 4587692884 Reassigns benefits to 1 organization
I20231021000348 FL Practitioner - Psychologist Billing Independently 4587692884 Practice locations: Tallahassee, FL

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

LicenseStateTypeSpecialty
PY0003703FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cotler Healthcare & Development Inc. Clinical CurrentSince Sep 17, 2022 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.

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

Verify at the official NPI Registry.