Individual provider Active NPI

Joseph Favali, MASTERS

  • Mental Health Counselor
  • Central Falls, RI
National Provider Identifier
1740477264
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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.

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

OrganizationSpecialtyStatusNew patients
Gateway Healthcare Inc Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
30343OtherRIBLUE 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.

Verify at the official NPI Registry.