DR. DAVID ANTHONY FAHEY (PHD) – Psychologist, NPI 1124068135

DR. DAVID ANTHONY FAHEY (PHD) is a healthcare provider. based in Reno, Nevada. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. PY0350 (NV). The NPI Number for DR. DAVID ANTHONY FAHEY (PHD) is 1124068135

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID ANTHONY FAHEY (PHD)
NPI
1124068135
Phone
(775) 329-5162
Address
1715 KUENZIL ST.
Enumeration Date
7 June 2006
Last Update Date
25 November 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7757830222
Graduation Year
1989 (37 years ago)
PAC ID
1456369412
Group Practice PAC ID
1355329566
Professional Enrollment ID
I20080515000704
Address ID
NV894479768YE171XXLNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

158 CLINICAL PSYCHOLOGIST in NV

Provider Addresses for DR. DAVID ANTHONY FAHEY (PHD)

  • 1715 KUENZIL ST.

    RENO, NV 895021521

    Phone: (775) 329-5162

    Fax: (775) 334-4359

    Type: Location

  • 1715, Kuenzli Street, Reno, Washoe County, Nevada, 89502, United States

    RENO, NV 895021117

    Phone: (775) 329-5162

    Fax: (775) 334-4359

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-05-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060403000157IClinical PsychologistNVTBD
I20080515000704IClinical PsychologistTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89502)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355329566View full group profile

Reviews

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Frequently asked questions

How do I look up DR. DAVID ANTHONY FAHEY (PHD) by NPI?
Use NPI 1124068135 when you need to reference DR. DAVID ANTHONY FAHEY (PHD) in forms, claims, or directories.
Is DR. DAVID ANTHONY FAHEY (PHD) active in the national directory?
DR. DAVID ANTHONY FAHEY (PHD)'s public NPI profile is in an active state.
What kind of provider is DR. DAVID ANTHONY FAHEY (PHD)?
The page reflects Psychologist for DR. DAVID ANTHONY FAHEY (PHD). Clinical services aligned with this taxonomy classification.
Does DR. DAVID ANTHONY FAHEY (PHD) practice in Nevada?
You will see Reno, Nevada on file for DR. DAVID ANTHONY FAHEY (PHD) alongside any extra practice locations.
What if Reno, Nevada seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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