PERFORMANCE FALLON INC
NPI 1851783187
Psychologist - Clinical in Prescott, AZ

Active since February 24, 2015
143 E MERRITT ST, PRESCOTT, AZ 86301(928) 460-4443(928) 460-4443 Get Directions Write a Review

NPPES record last updated: February 24, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Performance Fallon Inc NPPES

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

PERFORMANCE FALLON INC (NPI 1851783187) is a healthcare organization registered as a clinical in Prescott, Arizona and active in the NPI registry since February 2015. The organization lists Daniel T Fallon, President, as its authorized official.

NPPES Registry Identity

NPI1851783187
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NamePERFORMANCE FALLON INC
Location Address143 E MERRITT STPrescott, AZ 86301-2028
Mailing Address261 Jacob LnPrescott, AZ 86303-5844 · (847) 323-2636 · Fax (928) 460-4443
Fax(928) 460-4443
Organization SubpartNo
Authorized OfficialDaniel T FallonPresident · (928) 460-4443
Enumeration DateFebruary 24, 2015
✔ NPI 1851783187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in AZ · 4578
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.
143 E MERRITT ST, Prescott, AZ 86301

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Performance Fallon Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Performance Fallon Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1952386708
143 E MERRITT ST
Prescott, AZ 86301
(928) 460-4443
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Performance Fallon Inc's NPI number?

The NPI number for Performance Fallon Inc is 1851783187. It was assigned to this organization in the NPPES registry on February 24, 2015.

Where is Performance Fallon Inc located?

Performance Fallon Inc is located at 143 E Merritt St, Prescott, AZ 86301. The listed phone number is (928) 460-4443.

What is Performance Fallon Inc's specialty?

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

Is Performance Fallon Inc enrolled in Medicare?

Yes. Performance Fallon Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Performance Fallon Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Performance Fallon Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Performance Fallon Inc was last updated on February 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.