Herman Jason Falu Jr., LCDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDP000495 Issued in RI

Practice address

66 Burnett St
Providence, RI 02907-2527

Phone

(401) 785-0050

Fax

(401) 941-0089

NPI assigned

Apr 16, 2011

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1302912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302912000000",
    "number": "1275823809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 RUGBY ST",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104415",
            "telephone_number": "401-523-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 BURNETT ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029072527",
            "telephone_number": "401-785-0050",
            "fax_number": "401-941-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALU",
        "first_name": "HERMAN",
        "middle_name": "JASON",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCDP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-16",
        "last_updated": "2011-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "RI",
            "license": "CDP000495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RHODE ISLAND DEPARTMENT OF HEALTH",
            "identifier": "CDP000495",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Rachael Fallon, FNP-BC
• Ryan Thomas Fallon, MD
• Amanda Falls
• Alexandra M Falsey, MD
• Frank John Faltus, MD
• Meaghan Elizabeth Falvo, M.S. SLP
• Maria Fam, MD
• Family Resources Community Action
• Family Service Fo Rhode Island Inc.
• Family Service of Rhode Island

• Addiction (Substance Use Disorder) Counselor in Providence, RI
• Providers in Providence, RI by specialty
• Addiction (Substance Use Disorder) Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.