Roxanne Kay Fall, PH.D., L.L.P.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801069850 Issued in MI

Practice address

955 E. 8TH Street
Suite 2
Traverse City, MI 49686-2785

Phone

(231) 946-0299

Fax

(231) 946-9788

NPI assigned

Mar 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Management & Behavior Consultants, P. C.

  • Clinical Psychologist
  • Traverse City, MI
  • NPI 1306071071
  Medicare reassignment Authorized official
• Insight Behavioral Wellness of Northern Michigan LLC

  • Clinical Psychologist
  • Traverse City, MI
  • NPI 1942790894
  NPD (past)

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1922130467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 E 8TH ST STE 2",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862785",
            "telephone_number": "231-642-6675",
            "fax_number": "231-946-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 E. 8TH STREET",
            "address_2": "SUITE 2",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862785",
            "telephone_number": "231-946-0299",
            "fax_number": "231-946-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALL",
        "first_name": "ROXANNE",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "PH.D., L.L.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-11",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301011930",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801069850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Faba
• John D Faichney, MD
• Katherine Anne Fain, DPT
• Brenna Delphine Faircloth
• Martha Jane Falk, LMSW
• Richard G Faller, M.D.
• Family Hearing LLC
• Family Vision Care PLLC
• Hanna Elizabeth Farkas, PTA
• Nicole Renee Farkas, RN

• Clinical Social Worker in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.