David Anthony Fahey, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY0350 Issued in NV

Practice address

1715 Kuenzil St.
Reno, NV 89502-1521

Phone

(775) 329-5162

Fax

(775) 334-4359

NPI assigned

Jun 7, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in NV, TX2 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 2

Specialty

Clinical Psychologist

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Yerington Paiute Tribal CouncilGroup PAC ID 1355329566, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dfahey@ypt.directbygreenway.com

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.

• Yerington Paiute Tribal Council

  • Health Service Clinic/Center
  • Yerington, NV
  • NPI 1750338646

  TX

  Medicare reassignment Care Compare group NPD
• Fallon Tribal Health Center

  • Clinic/Center
  • Fallon, NV
  • NPI 1023057478
  NPD (past)
• Walker River Paiute Tribe

  • Federal Public Health Clinic/Center
  • Schurz, NV
  • NPI 1063622926
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259107200000",
    "number": "1124068135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 KUENZLI ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021117",
            "telephone_number": "775-329-5162",
            "fax_number": "775-334-4359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 KUENZIL ST.",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021521",
            "telephone_number": "775-329-5162",
            "fax_number": "775-334-4359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHEY",
        "first_name": "DAVID",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2009-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NV",
            "license": "PY0350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004716904",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Ezeanuna, DO
• Dakota Ezell, DPT
• Chinelo Jecintha Ezenwa, M.D
• F. Keith Nebeker, D.P.M., PC
• Aaron Jonathan Factor
• Malika Fahie
• Mina Maher Faiek, D.M.D.
• Brenda Fain
• Wyatt Robert Fair
• Samantha Fairchild

• Psychologist in Reno, NV
• Providers in Reno, NV by specialty
• Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.

Verify at the official NPI Registry.