MRS. SANDRA J FALLON PSYD
NPI 1487766127
Psychologist - Clinical in Western Springs, IL

Active since August 31, 2006PECOS Enrolled
4624 JOHNSON AVE, WESTERN SPRINGS, IL 60558(708) 203-9845(708) 246-3408 Get Directions Write a Review

NPPES record last updated: July 30, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Sandra J Fallon Psyd NPPES

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

MRS. SANDRA J FALLON PSYD (NPI 1487766127) is an individual clinical provider in Western Springs, Illinois, licensed in Illinois (071005007) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487766127
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMRS. SANDRA J FALLONCredential: PSYD
Location Address4624 JOHNSON AVEWestern Springs, IL 60558
Mailing Address4624 Johnson AveWestern Springs, IL 60558 · (708) 203-9845 · Fax (708) 246-3408
Fax(708) 246-3408
Sole ProprietorYes
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 30, 2014
NPI 1487766127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in IL · 071005007
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.

Also ListedRegistered NurseTaxonomy 163W00000X · License 041094355 (IL)
4624 JOHNSON AVE, Western Springs, IL 60558

Other Identifiers 2

Other0001635216IL · Bcbs
Medicare ID-Type Unspecified211688

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Sandra J Fallon Psyd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60558 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
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487766127, enumerated as an "individual" on August 31, 2006.

The provider is located at 4624 JOHNSON AVE WESTERN SPRINGS, IL 60558 and the phone number is (708) 203-9845.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.