Active NPI
Patricia A Falcon, PSYD
- Health Psychologist
- Tucson, AZ
National Provider Identifier
1710970959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Psychologist
- License
- 3388
- Practice address
- 7624 N la Cholla Blvd
Tucson, AZ 85741-4201 - Phone
- (520) 303-4209
- Fax
- (520) 396-4154
- NPI assigned
- Aug 23, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 3388 | AZ | |
| Clinical Psychologist | 103TC0700X | 003388 | AZ | |
| Rehabilitation Psychologist | 103TR0400X | 3388 | AZ | |
| Health Psychologist | 103TH0004X | 3388 | AZ | Primary |
Addresses
Primary practice location
7624 N la Cholla Blvd
Tucson, AZ 85741-4201
Mailing address
PO Box 85461
Tucson, AZ 85754-5461
Phone (520) 784-3265
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620006787 | Other | AZ | RAILROAD MEDICARE |
| 620006789 | Other | AZ | RAILROAD MEDICARE |
| 525321 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110818000309 | AZ | Practitioner - Clinical Psychologist | 6204005788 | Practice locations: Tucson, AZ |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
7624 N la Cholla Blvd
Tucson, AZ 85741-4201
Phone (520) 303-4209
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003388 | AZ | MD | Clinical Psychologist |
| 3388 | AZ | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carondelet Health Network | Past | Accepting new patients | |
| Carondelet Specialist Group, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatric Hospital Unit
- Tucson, AZ
- NPI 1750788667
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1710970959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 85461",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857545461",
"telephone_number": "520-784-3265",
"fax_number": "520-396-4154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7624 N LA CHOLLA BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857414201",
"telephone_number": "520-303-4209",
"fax_number": "520-396-4154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALCON",
"first_name": "PATRICIA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-23",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "AZ",
"license": "3388",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "003388",
"primary": false
},
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "AZ",
"license": "3388",
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "AZ",
"license": "3388",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "620006787",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "620006789",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "525321",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.