David Lawrence Falkstein, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

30682 Issued in TX

Practice address

204 W McDermott Dr Ste a
Allen, TX 75013-8058

Phone

(972) 954-7188

Fax

(214) 383-4252

NPI assigned

Jan 9, 2007

Reactivated

Aug 24, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Clinical Psychologist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Collin County Mental Health Mental Retardation CenterGroup PAC ID 9234117342, 23 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Collin County Mental Health Mental Retardation Center

  • Mental Health Counselor
  • McKinney, TX
  • NPI 1871576835

  TX

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503532800000",
    "number": "1467501403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 502",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750130010",
            "telephone_number": "972-954-7188",
            "fax_number": "213-283-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W MCDERMOTT DR STE A",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750138058",
            "telephone_number": "972-954-7188",
            "fax_number": "214-383-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALKSTEIN",
        "first_name": "DAVID",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2017-08-24",
        "deactivation_date": "2016-02-26",
        "reactivation_date": "2017-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "30682",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "TX",
            "license": "32077",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031582201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Allison Fagen, PTA
• Joseph Starr Fagner, MD
• Mohamed Faheid
• Lauren Fairchild, PT
• Fairview Eyecare, P.a.
• Megan Fallwell, NBC-HWC
• Susan Falola, DDS
• Family Care and Wellness, PLLC
• Hesper Lana Fang
• Shin-Chiao Fang, DPT

• All providers in Allen, TX
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; 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.