Individual provider Active NPI

Kristine Lynn Falco, PSYD

  • Psychologist
  • Sisters, OR
National Provider Identifier
1205908472
Registry record updated Apr 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
781 Issued in OR
Practice address
392 E. Main Ave.
Sisters, OR 97759-1717
Phone
(541) 480-4887
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 781 OR Primary

Addresses

Primary practice location

392 E. Main Ave.
Sisters, OR 97759-1717

Mailing address

PO Box 1717
Sisters, OR 97759-1717
Phone (541) 480-4887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100528000323 OR Practitioner - Clinical Psychologist 3476682584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

392 E Main St
Sisters, OR 97759
Phone (541) 480-4887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
781ORMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kristine L Falco PSYD PC CurrentSince Mar 26, 2010 Accepting new patients

Locations

392 E Main Ave
Sisters, OR 97759
Phone (541) 480-4887

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271289600000",
    "number": "1205908472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1717",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977591717",
            "telephone_number": "541-480-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 E. MAIN AVE.",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977591717",
            "telephone_number": "541-480-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALCO",
        "first_name": "KRISTINE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2010-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sisters, OR

Sources for this page

Verify at the official NPI Registry.