David C Fales

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC001908 Issued in PA

Practice address

1777 Sentry Pkwy W Ste 300
Blue Bell, PA 19422-2211

Phone

(215) 767-7096

NPI assigned

Jun 5, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.fales.1@28623.direct.athenahealth.com

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.

• Optum Behavioral Care of Connecticut, P.C.

  • Counseling Psychologist
  • Philadelphia, PA
  • NPI 1811778988
  NPD
• Psychological Healthcare, PLLC

  • Professional Counselor
  • Syracuse, NY
  • NPI 1922109578
  NPD (past)

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1750949632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 LONELY GOOSE CIR",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194384302",
            "telephone_number": "215-859-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 SENTRY PKWY W STE 300",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194222211",
            "telephone_number": "215-767-7096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALES",
        "first_name": "DAVID",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC001908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Esposito
• Ethos Therapy Solutions, Inc.
• Alexandra Anne Evans, D.O.
• Evergreen Pharmacy II, Inc.
• Evolution Physical Therapy LLC
• Kemi Fashina-Leeks
• Suzanne Favours, LCSW
• Robyn Beth Faye, M.D.
• Stephanie G Fine, M.ED., PSY.D.
• Daniel Leor Fischer, MD

• Professional Counselor in Blue Bell, PA
• Providers in Blue Bell, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.