Joanna Fava, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

020346 Issued in NY

Practice address

45 Popham Rd Apt 1D
Scarsdale, NY 10583-4224

Phone

(914) 468-4624

NPI assigned

May 6, 2014

Last updated

Apr 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 14, 2022 through Jun 14, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Cognitive and Dialectical Behavior Therapy

  • Clinical Psychologist
  • New Hyde Park, NY
  • NPI 1013131465
  NPD (past)

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1366852857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 POPHAM RD APT 1D",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105834224",
            "telephone_number": "914-468-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 POPHAM RD APT 1D",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105834224",
            "telephone_number": "914-468-4624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVA",
        "first_name": "JOANNA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "020346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Fahey, LMSW
• Family and Community Counseling Center
• Paul Farber, OPTICIAN
• Salvatore A Farruggio, M.D.
• Robert B Fath Jr., M.D.
• Laura Fechter, PSY.D.
• Connor William Fedge, PT, DPT
• Edward Miles Feinberg, DMD
• Cindy Link Feiner, LCSW
• Paula M. Feirstein, LCSW

• Psychologist in Scarsdale, NY
• Providers in Scarsdale, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.