Active NPI
Joseph Favali, MASTERS
- Mental Health Counselor
- Central Falls, RI
National Provider Identifier
1740477264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 51 Clay St
Central Falls, RI 02863-3029 - Phone
- (401) 726-8080
- Fax
- (401) 726-8007
- NPI assigned
- Sep 28, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pawtucket, RI
- NPI 1821078932
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateway Healthcare Inc | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
51 Clay St
Central Falls, RI 02863-3029
Mailing address
51 Clay St
Central Falls, RI 02863-3029
Phone (401) 726-8080
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30343 | Other | RI | BLUE CROSS CRISIS |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 28, 2007.
{
"created_epoch": "1190937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190937600000",
"number": "1740477264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 CLAY ST",
"city": "CENTRAL FALLS",
"state": "RI",
"postal_code": "028633029",
"telephone_number": "401-726-8080",
"fax_number": "401-726-8007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 CLAY ST",
"city": "CENTRAL FALLS",
"state": "RI",
"postal_code": "028633029",
"telephone_number": "401-726-8080",
"fax_number": "401-726-8007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAVALI",
"first_name": "JOSEPH",
"credential": "MASTERS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-28",
"last_updated": "2007-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS CRISIS",
"identifier": "30343",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Central Falls, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.