Active NPI
Robert Samuel Falk, PHD
- Clinical Psychologist
- Richmond, VA
National Provider Identifier
1730133554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810001675
- Practice address
- 703 N Courthouse Rd
Richmond, VA 23236-4069 - Phone
- (804) 639-1136
- Fax
- (804) 639-5584
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810001675 | VA | Primary |
Addresses
Primary practice location
703 N Courthouse Rd
Richmond, VA 23236-4069
Mailing address
703 N Courthouse Rd
Richmond, VA 23236-4069
Phone (804) 639-1136
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6810 Teagle LN
Gloucester, VA 23061-5386
Phone (804) 210-1104
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brshelton Companies LLC | Current | Accepting new patients | |
| Steider & Associates, PLLC | Past | Accepting new patients |
Locations
6810 Teagle Ln
Gloucester, VA 23061
Phone (804) 210-1104
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.
-
- Mental Health Counselor
- Gloucester, VA
- NPI 1174222160
-
- Mental Health Counselor
- Gloucester, VA
- NPI 1710163084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203984000000",
"number": "1730133554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 N COURTHOUSE RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232364069",
"telephone_number": "804-639-1136",
"fax_number": "804-639-5584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 N COURTHOUSE RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232364069",
"telephone_number": "804-639-1136",
"fax_number": "804-639-5584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALK",
"first_name": "ROBERT",
"middle_name": "SAMUEL",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2008-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810001675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.