Organization Active NPI

Lee M. Faver PHD Psychologist PC

  • Counseling Psychologist
  • Buffalo, NY
National Provider Identifier
1073510384
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
011953 Issued in NY
Legal business name
LEE M. FAVER PHD PSYCHOLOGIST PC
Practice address
12 Radcliffe Rd
Buffalo, NY 14214-1221
Phone
(716) 553-3319
NPI assigned
Jun 30, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lee Mitch Faver, PHD ABPPNPI 1518964824
Title
President; Licensed Psychologist
Phone
(716) 553-3319

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 011953 NY Primary

Addresses

Primary practice location

12 Radcliffe Rd
Buffalo, NY 14214-1221

Mailing address

12 Radcliffe Rd
Buffalo, NY 14214-1221
Phone (716) 553-3319

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073510384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 RADCLIFFE RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141221",
            "telephone_number": "716-553-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 RADCLIFFE RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141221",
            "telephone_number": "716-553-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE M. FAVER PHD PSYCHOLOGIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAVER",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "MITCH",
        "authorized_official_title_or_position": "PRESIDENT;  LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "716-553-3319",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD ABPP"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "011953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.