ANTHONY J FALLICA JR. PH.D.
NPI 1235185257
Psychologist - Clinical in Pittsburgh, PA
NPI Status: Active since May 25, 2006
Contact Information
239 4TH AVE
SUITE 1709
PITTSBURGH, PA
ZIP 15222
Phone: (412) 281-8068
- Individual
- Male
- Psychologist
- Clinical
- PECOS Enrolled
About ANTHONY FALLICA
This page provides the complete NPI Profile along with additional information for Anthony Fallica, a provider established in Pittsburgh, Pennsylvania with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1235185257 assigned on May 2006. The practitioner's primary taxonomy code is 103TC0700X with license number PS002698L (PA). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1235185257
- Provider Name
- ANTHONY J FALLICA JR. PH.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 239 4TH AVE SUITE 1709 PITTSBURGH, PA 15222
- Location Phone
- (412) 281-8068
- Mailing Address
- 239 4TH AVE SUITE 1709 PITTSBURGH, PA 15222
- Mailing Phone
- (412) 281-8068
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-25-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A clinical psychologist like Anthony Fallica assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- PS002698L
- License State
- PA
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00064854 | OTHER (01) | PA | RAILROAD MEDICARE |
| 024701 | MEDICARE ID-TYPE UNSPECIFIED (04) | PA | |
| 024701 | OTHER (01) | PA | HIGHMARK BC BS |
| 01933730 | MEDICAID (05) | PA | |
| R05393 | MEDICARE UPIN (02) | PA |
Medicare Participation & PECOS Enrollment Status
Anthony Fallica is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Psychiatric diagnostic evaluation
Psychotherapy, 30 minutes
Psychotherapy, 30 minutes
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
This service was performed 12 times for 12 patientsPsychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
This service was performed 64 times for 29 patientsPsychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
This service was performed 36 times for 11 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 15222 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $166.87
- Minimum New Patient Price $54.64
- Maximum New Patient Price $166.87
- Average New Patient Copayment $41.71
- Minimum New Patient Copayment $13.66
- Maximum New Patient Copayment $41.71
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.82
- Minimum Established Patient Price $17.33
- Maximum Established Patient Price $135.84
- Average Established Patient Copayment $24.2
- Minimum Established Patient Copayment $4.33
- Maximum Established Patient Copayment $33.96
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for ANTHONY J FALLICA JR. PH.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 3 | 5 | 1 | 8 | 5 | 2 | 5 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 2 | 8 | 10 | 2 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 2 + 8 + 1 + 0 + 2 + 1 + 0 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1235185257 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
MS. MELISSA MARIE MILBERT MS, NCC, LPC
Counselor
(Professional)
239 4TH AVE
SUITE 1807
PITTSBURGH, PA
ZIP 15222
MRS. PAULA M KAUFFMANOBERLY LPC, NCC
Counselor
(Professional)
239 4TH AVE
SUITE 1604
PITTSBURGH, PA
ZIP 15222
JASON L CHARNEY LPC
Counselor
(Mental Health)
239 4TH AVE
SUITE 1618
PITTSBURGH, PA
ZIP 15222
MRS. MEGAN LINDEMAN MS, LPC, CRC
Counselor
(Professional)
239 4TH AVE
1604
PITTSBURGH, PA
ZIP 15222
PAULA KAUFFMAN OBERLY, LPC, LLC
Community/Behavioral Health
239 4TH AVE
SUITE 1604
PITTSBURGH, PA
ZIP 15222
FORWARD WELLNESS COUNSELING AND CONSULTING SERVICES LLC
Public Health or Welfare
239 4TH AVE
PITTSBURGH, PA
ZIP 15222
EMILY WEISSER LPC, NCC
Counselor
(Professional)
239 4TH AVE
#1807
PITTSBURGH, PA
ZIP 15222
DRS. JOSEPH MARKO AND JEFFREY KLINK
Clinic/Center
(Dental)
239 4TH AVE
SUITE 1907
PITTSBURGH, PA
ZIP 15222
DANIELLE TURK
Counselor
(Mental Health)
239 4TH AVE
PITTSBURGH, PA
ZIP 15222
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235185257, enumerated in the NPI registry as an "individual" on May 25, 2006
The provider is located at 239 4th Ave Suite 1709 Pittsburgh, Pa 15222 and the phone number is (412) 281-8068
The provider's speciality is Psychologist with taxonomy code 103TC0700X with a focus in Clinical
The provider might be accepting Accepts: Railroad Medicare, Medicare, Medicaid and Highmark. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of July 06, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
Medicare beneficiaries should expect a typical cost of $166.87 with an average copayment of $41.71 for new patient appointments. Established patients should expect a typical charge of $96.82 and an average copayment of 24.2. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Psychiatric diagnostic evaluation, Psychotherapy, 30 minutes and Psychotherapy, 30 minutes.
This NPI record was last updated on May 25, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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