Jed Falkowski, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

37413 Issued in TX

Practice address

11882 Greenville Ave Ste 107
Dallas, TX 75243-3567

Phone

(972) 644-8686

NPI assigned

May 2, 2007

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Price Proctor & Associates LLP

  • Forensic Psychologist
  • Dallas, TX
  • NPI 1922348838
  NPD

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1992927057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11882 GREENVILLE AVE STE 107",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433567",
            "telephone_number": "972-644-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11882 GREENVILLE AVE STE 107",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433567",
            "telephone_number": "972-644-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALKOWSKI",
        "first_name": "JED",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "37413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Vanessa Falco
• Laura Yvette Falcon Beltran, M.S.
• Tiffany Ivette Falcon, CRNA
• Karie Falder, CNS
• Lori Falknor, MA, LPC INTERN
• Pooria Fallah Abed, DDS
• Juliet Howard Fallah, M.D.
• Margarita Fallena, MD
• Emily Aline Fallis, PH.D.
• Elizabeth O Falola, MD

• Clinical Neuropsychologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Neuropsychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.