MR. ANDREW JAMES FAIRLEY CRPA
NPI 1144819673
Peer Specialist in Staten Island, NY

Q: What is Andrew Fairley's NPI number?

The NPI number for Andrew Fairley is 1144819673. It was assigned to this individual provider in the NPPES registry on January 11, 2021.

Q: What is Andrew Fairley's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Fairley was last updated on January 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 11, 2021

96 MOBILE AVE, STATEN ISLAND, NY 10306(347) 756-0787 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Andrew James Fairley Crpa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ANDREW JAMES FAIRLEY CRPA (NPI 1144819673) is an individual peer specialist in Staten Island, New York, licensed in New York (CRPA-P-4690) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1144819673

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameMR. ANDREW JAMES FAIRLEYCredential: CRPA

Location Address96 MOBILE AVEStaten Island, NY 10306-2128

Mailing Address96 Mobile AveStaten Island, NY 10306-2128 · (347) 756-0787

Phone(347) 756-0787

Sole ProprietorYes

Enumeration DateJanuary 11, 2021

NPPES CertifiedJanuary 6, 2021

✔ NPI 1144819673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in NY · CRPA-P-4690

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

96 MOBILE AVE, Staten Island, NY 10306

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Fairley's NPI number?

The NPI number for Andrew Fairley is 1144819673. It was assigned to this individual provider in the NPPES registry on January 11, 2021.

Where is Andrew Fairley located?

Andrew Fairley practices at 96 Mobile Ave, Staten Island, NY 10306. The listed phone number is (347) 756-0787.

What is Andrew Fairley's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Andrew Fairley was last updated on January 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.