Individual provider Active NPI

Margaret A. Fallon, PH.D.

  • Psychologist
  • Prairie Village, KS
National Provider Identifier
1295870996
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2612 Issued in KS
Practice address
Stateline Executive Office Park
8010 Stateline Rd.
Prairie Village, KS 66208
Phone
(913) 789-7899
Fax
(913) 901-8225
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSYC 01385 MO
Psychologist 103T00000X 2612 KS Primary

Addresses

Primary practice location

Stateline Executive Office Park
8010 Stateline Rd.
Prairie Village, KS 66208

Mailing address

PO Box 19491
Lenexa, KS 66285-9491
Phone (913) 789-7899

Other names 1

  • Dr. Margo A. Fallon Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20181106001254 KS Practitioner - Clinical Psychologist 4082875117 Reassigns benefits to 4 organizations
Practice locations: Prairie Village, KS

Care Compare profile

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

Practice addresses (Care Compare)

8010 State Line Rd
Suite 230
Prairie Village, KS 66208-3711
Phone (913) 789-7899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2612KSMDProfessional Counselor
PSYC 01385MOMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Key Rehabilitation, Inc CurrentSince Sep 1, 2023 Accepting new patients
Clinical Associates PA CurrentSince Dec 1, 2022 Accepting new patients
Deer Oaks Mental Health Associates PC CurrentSince Dec 4, 2018 Accepting new patients
Key Rehabilitation, Inc Psychologist CurrentSince Sep 1, 2023 Accepting new patients

Locations

915 Horton St
Fort Scott, KS 66701
Phone (620) 215-2154

8629 Bluejacket St
Overland Park, KS 66214
Phone (913) 677-3553

7101 E 21st St N
Wichita, KS 67206
Phone (316) 682-8909

1335 NW Broad St
Murfreesboro, TN 37129
Phone (615) 983-0240

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

Organizations & group practices 5

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1295870996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19491",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662859491",
            "telephone_number": "913-789-7899",
            "fax_number": "913-901-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STATELINE EXECUTIVE OFFICE PARK",
            "address_2": "8010 STATELINE RD.",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "66208",
            "telephone_number": "913-789-7899",
            "fax_number": "913-901-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLON",
        "first_name": "MARGARET",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "PSYC 01385",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "2612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGO",
            "last_name": "FALLON",
            "middle_name": "A.",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Prairie Village, KS

Sources for this page

Verify at the official NPI Registry.