P Praxis·MD
● Active Type 2 · Organization

Keith Fallon, Psy.d., P.c.

Psychologist·Conyers, GA· NPI 1801947569 · Enumerated 2007 · 19 years on NPI
Keith Fallon, Psy.d., P.c. is 1 of 1114 psychologist organizations in Georgia.
NPI age
19 years
Enumerated 2007-01-16
Primary specialty
Psychologist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fallon
Ceo
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 1114 active psychologist providers in Georgia.

NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
1100 Green St Sw
Conyers, GA 300125220
📞 4045025824
Mailing address
Po Box 1790
Conyers, GA 300127964
📞 4045025824

Authorized official

Keith James Fallon, PSY.D.
Ceo
📞 4045025824

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Psychologist Primary
    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,...
    GA license #PSY002856 taxonomy 103T00000X

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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