Individual provider Active NPI

Joyce Mary Dibonaventura, LCSW

  • Clinical Social Worker
  • Cold Spring, NY
National Provider Identifier
1780723890
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR015152-1 Issued in NY
Practice address
128 Hustis Rd
Cold Spring, NY 10516-4109
Phone
(845) 216-0860
NPI assigned
Feb 5, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X PR015152-1 NY Primary

Addresses

Primary practice location

128 Hustis Rd
Cold Spring, NY 10516-4109

Mailing address

128 Hustis Rd
Cold Spring, NY 10516-4109
Phone (845) 216-0860

Other names 1

  • Joyce Mary Famighetti Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110617000203 NY Practitioner - Clinical Social Worker 6608054846 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carmel Psychological Health PCGroup PAC ID 4385530351, 222 clinicians

Practice addresses (Care Compare)

667 Stoneleigh Ave
Suite 202
Carmel, NY 10512-2455
Phone (845) 279-5908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR015152-1NYMDClinical Social Worker
015152NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hypnoscope Medical, PC CurrentSince Oct 28, 2013 Accepting new patients
Mental Health Specialty Group PA CurrentSince Oct 1, 2025 Accepting new patients
Putnam Family and Community Services Inc Past Accepting new patients
Westchester Faculty Psychological Associates PC Past Accepting new patients
Putnam Family and Community Services Inc Past Accepting new patients

Locations

667 Stoneleigh Ave
Ste 202
Carmel, NY 10512
Phone (845) 278-5223

Interoperability endpoints

  • Direct secure messaging: cpa.joycedibonaventura@142175.advancedmd-direct.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780723890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 HUSTIS RD",
            "city": "COLD SPRING",
            "state": "NY",
            "postal_code": "105164109",
            "telephone_number": "845-216-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 HUSTIS RD",
            "city": "COLD SPRING",
            "state": "NY",
            "postal_code": "105164109",
            "telephone_number": "845-216-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBONAVENTURA",
        "first_name": "JOYCE",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR015152-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOYCE",
            "last_name": "FAMIGHETTI",
            "middle_name": "MARY",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cold Spring, NY

Sources for this page

Verify at the official NPI Registry.