Anthony J Fallica Jr., PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS002698L Issued in PA

Practice address

239 4TH Ave
Suite 1709
Pittsburgh, PA 15222-1706

Phone

(412) 281-8068

NPI assigned

May 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Senior Behavioral Healthcare Group, Inc

  • Cognitive & Behavioral Psychologist
  • Ardmore, PA
  • NPI 1013930221
  Medicare reassignment NPD
• Unity Care P.C.

  • Clinical Psychologist
  • Wilkinsburg, PA
  • NPI 1063468544
  Medicare reassignment
• Senior Behavioral Healthcare Group Inc

  • Cognitive & Behavioral Psychologist
  • Ardmore, PA
  • NPI 1497914089
  NPD
• Pennsylvania Department of Public Welfare

  dba Mayview State Hospital

  • Psychiatric Hospital
  • Bridgeville, PA
  • NPI 1902889876
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235185257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 4TH AVE",
            "address_2": "SUITE 1709",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152221706",
            "telephone_number": "412-281-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 4TH AVE",
            "address_2": "SUITE 1709",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152221706",
            "telephone_number": "412-281-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLICA",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS002698L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC BS",
            "identifier": "024701",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01933730",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00064854",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Faller
• Ronald Faller
• Jeffrey Falleroni, SLP
• Jenna Marie Fallert, LCSW
• Michael Fallert
• Sarah Fallica, LSW
• Fallon & Williams PC (The Psychology Loft)
• Alice Fallon, PT
• Kara Falo, MOT OTR/L
• Louis Falo

• Clinical Psychologist in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.