Frank Peter Tavella, CRC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

003168-1 Issued in NY

Practice address

91-01 Merrick Blvd
Jamaica, NY 11432

Phone

(718) 523-4242

Fax

(718) 523-5520

NPI assigned

Mar 27, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mr. Francis Peter Tavella Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013035963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 HAMILTON AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584007",
            "telephone_number": "516-799-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-01 MERRICK BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11432",
            "telephone_number": "718-523-4242",
            "fax_number": "718-523-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVELLA",
        "first_name": "FRANK",
        "middle_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "CRC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "003168-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRANCIS",
            "last_name": "TAVELLA",
            "middle_name": "PETER",
            "prefix": "MR.",
            "credential": "LMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sanzida Taslim, MD
• Guerda Remy Tassy
• Takia Shonte Tate, CASAC
• Lawrence Tatem I, PT
• Mallika Tatikola, MD
• Jeannette Taveras
• Teresa Tawadros
• Andrea Taylor
• Gary Joseph Taylor, RN
• Joann Taylor, RN

• Mental Health Counselor in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.