Daniel Fallon, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4578 Issued in AZ

Practice address

143 E Merritt St
Prescott, AZ 86301-2028

Phone

(928) 460-4443

Fax

(928) 379-7091

NPI assigned

Dec 14, 2005

Last updated

Dec 5, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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 AZ

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 1

Specialty

Clinical Psychologist

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Performance Fallon Inc

  • Clinical Psychologist
  • Prescott, AZ
  • NPI 1851783187
  Medicare reassignment NPD Authorized official
• Marlin C Hoover PHD PC

  dba Hoover & Associates

  • Clinical Psychologist
  • Tinley Park, IL
  • NPI 1871578625
  NPD (past)

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1952386708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 E MERRITT ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863012028",
            "telephone_number": "928-460-4443",
            "fax_number": "928-379-7091"
        },
        {
            "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": "928-379-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLON",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071005875",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jutamas Fackler
• Khailitha Fae, L. AC, DOM
• Jill Fagan, PMHNP-BC
• Burt I Faibisoff, MD
• Celia Kay Fakhouri, PA-C
• Family Chiropractic Health Care
• Motoko Fanning
• Nathan William Farnsworth, PMHNP
• Farshid Paydar, LLC (Prescott Surgery Center)
• Karen Ann Fay, CCC-SLP

• 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 Dec 5, 2016; 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.