DR. KAREN ELIZABETH FALLON PSY.D.
NPI 1225278476
Psychologist - Clinical in Barrington, RI

Q: What is Karen Fallon's NPI number?

The NPI number for Karen Fallon is 1225278476. It was assigned to this individual provider in the NPPES registry on March 1, 2009.

Q: What is Karen Fallon's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Karen Fallon was last updated on October 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since March 01, 2009PECOS EnrolledAccepts Medicare Assignment

260 WASECA AVE, BARRINGTON, RI 02806(401) 245-4040 Get Directions Write a Review

NPPES record last updated: October 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Karen Elizabeth Fallon Psy.d. NPPES

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

DR. KAREN ELIZABETH FALLON PSY.D. (NPI 1225278476) is an individual clinical provider in Barrington, Rhode Island, licensed in Rhode Island (PS01107) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1225278476

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KAREN ELIZABETH FALLONCredential: PSY.D.

Location Address260 WASECA AVEBarrington, RI 02806-3562

Mailing Address16 Maple RdWarren, RI 02885-1417 · (508) 982-4395

Phone(401) 245-4040

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateMarch 1, 2009

Last NPPES UpdateOctober 19, 2016

✔ NPI 1225278476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in RI · PS01107✔ Licensed in MA · 8959

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

260 WASECA AVE, Barrington, RI 02806

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Karen Elizabeth Fallon Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517211139

PECOS Enrollment IDI20181119001466

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

140 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02806 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$177.03 typical visit price

range $58.57 – $177.03

Typical copayment $44.25 (range $14.64 – $44.25)

Most-billed visit code 99205

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LESLIE ANN FEIL PH.D.

Psychologist (Clinical)