SAMUEL A FAULKNER
NPI 1417444746
Psychologist in Danville, PA

Active since April 23, 2018PECOS Enrolled
100 N ACADEMY AVE, DANVILLE, PA 17822(570) 271-8255 Get Directions Write a Review

NPPES record last updated: December 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 23, 2020, Apr 23, 2018 (2 updates tracked since 2018).

About Samuel A Faulkner NPPES

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

SAMUEL A FAULKNER (NPI 1417444746) is an individual psychologist in Danville, Pennsylvania, licensed in Pennsylvania (PS019183) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417444746
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameSAMUEL A FAULKNER
Location Address100 N ACADEMY AVEDanville, PA 17822-9800
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144
Sole ProprietorNo
Enumeration DateApril 23, 2018
Last NPPES UpdateDecember 23, 20202 updates tracked since enumeration
NPPES CertifiedDecember 23, 2020
NPI 1417444746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in PA · PS019183
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.
Also ListedPsychologist · Health ServiceTaxonomy 103TH0100X
100 N ACADEMY AVE, Danville, PA 17822

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Samuel A Faulkner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

Surgery (Pediatric Surgery)
100 N ACADEMY AVE
DANVILLE, PA 17822
Dietitian, Registered
100 N ACADEMY AVE
DANVILLE, PA 17822
Emergency Medicine
100 N ACADEMY AVE
DANVILLE, PA 17822
Physician Assistant
100 N ACADEMY AVE
DANVILLE, PA 17822
Pediatrics
100 N ACADEMY AVE
DANVILLE, PA 17822
Surgery (Pediatric Surgery)
100 N ACADEMY AVE
DANVILLE, PA 17822
Pediatrics (Neonatal-Perinatal Medicine)
100 N ACADEMY AVE
DANVILLE, PA 17822
Nurse Anesthetist, Certified Registered
100 N ACADEMY AVE
DANVILLE, PA 17822

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 Samuel Faulkner's NPI number?

The NPI number for Samuel Faulkner is 1417444746. It was assigned to this individual provider in the NPPES registry on April 23, 2018.

Where is Samuel Faulkner located?

Samuel Faulkner practices at 100 N Academy Ave, Danville, PA 17822. The listed phone number is (570) 271-8255.

What is Samuel Faulkner's specialty?

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

Is Samuel Faulkner enrolled in Medicare?

Yes. Samuel Faulkner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Faulkner was last updated on December 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.