Performance Fallon Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4578 Issued in AZ

Legal business name

PERFORMANCE FALLON INC

Practice address

143 E Merritt St
Prescott, AZ 86301-2028

Phone

(928) 460-4443

Fax

(928) 460-4443

NPI assigned

Feb 24, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Daniel T Fallon, PSY.D.NPI 1952386708

Title

President

Phone

(928) 460-4443

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Fallon, PSYD

  • Clinical Psychologist
  • Prescott, AZ
  • NPI 1952386708
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1851783187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 JACOB LN",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863035844",
            "telephone_number": "847-323-2636",
            "fax_number": "928-460-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 E MERRITT ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863012028",
            "telephone_number": "928-460-4443",
            "fax_number": "928-460-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE FALLON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "FALLON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-460-4443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jovanna Penney
• Rachel Penning, APRN, AGNP-C
• Priscilla Pennington
• Rosalind Perera, LCSW
• Ana M Perez Gissy, LMT
• Holly Perham, PHD, NCSP
• Asya Ruth Perkins, M.A., LPC-16532
• Jaron Beau Perkins, D.M.D.
• Marla Beth Perkins, SLP
• Lynn P Perlenfein, PA-C

• Clinical Psychologist in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.