ALLISON FAGAN PH.D.
NPI 1104253152
Psychologist in Westerville, OH

Active since October 06, 2013Opted out of Medicare · through Feb 7, 2028
107 E COLLEGE AVE, SUITE 101, WESTERVILLE, OH 43081(614) 398-9624 Get Directions Write a Review

NPPES record last updated: October 6, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Allison Fagan Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALLISON FAGAN PH.D. (NPI 1104253152) is an individual psychologist in Westerville, Ohio, licensed in (5407) and active in the NPI registry since October 2013. She has opted out of Medicare through February 7, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104253152
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameALLISON FAGANCredential: PH.D.
Location Address107 E COLLEGE AVE, SUITE 101Westerville, OH 43081-1658
Mailing Address6575 Lake Of The Woods PtGalena, OH 43021-9616 · (614) 398-9624
Sole ProprietorYes
Enumeration DateOctober 6, 2013
NPI 1104253152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed · 5407
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
107 E COLLEGE AVE, Westerville, OH 43081

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Allison Fagan Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 7, 2018 through February 7, 2028.

Opt-Out Effective DateFebruary 7, 2018
Opt-Out In Effect ThroughFebruary 7, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Allison Fagan's NPI number?

The NPI number for Allison Fagan is 1104253152. It was assigned to this individual provider in the NPPES registry on October 6, 2013.

Where is Allison Fagan located?

Allison Fagan practices at 107 E College Ave Suite 101, Westerville, OH 43081. The listed phone number is (614) 398-9624.

What is Allison Fagan's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Allison Fagan enrolled in Medicare?

No. Allison Fagan has opted out of Medicare through February 7, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Allison Fagan was last updated on October 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.