Patricia A Faele, MS

Primary specialty

SpecialistTaxonomy code 174400000X

License

412104921 Issued in NY

Practice address

5 Deera LN
Farmingville, NY 11738-4200

Phone

(631) 451-0996

NPI assigned

Sep 6, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1639428543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 DEERA LN",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117384200",
            "telephone_number": "631-451-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 DEERA LN",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117384200",
            "telephone_number": "631-451-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAELE",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "412104921",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "412103921",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "412105921",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ellyn Dwyer, CCC-SLP
• Jeanne Edelman
• Matthew Edwards
• Mitchell W Ehrlich, M.D.
• Lizzie Espinal, MASTERS
• Benjamin Farmer, M.D.
• Farmingville Fire District
• Farmingville Mental Health
• Farmingville Mental Health Clinic
• Farmingville MHC

• Specialist in Farmingville, NY
• Providers in Farmingville, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.