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

Q: 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.

Q: What is Performance Fallon Inc's specialty?

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

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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

Phone(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

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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

Other Providers at the Same Location NPPES 6

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

MRS. GAIL ANN WAGNER M.S.

Counselor (Mental Health)