BRIANNA FAVA PH.D.
NPI 1851586408
Psychologist - Clinical in Shoreham, NY

Q: What is Brianna Fava's NPI number?

The NPI number for Brianna Fava is 1851586408. It was assigned to this individual provider in the NPPES registry on September 6, 2007.

Q: What is Brianna Fava's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Brianna Fava was last updated on October 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 September 06, 2007

45 ROUTE 25A STE A2, SHOREHAM, NY 11786(631) 655-3021 Get Directions Write a Review

NPPES record last updated: October 12, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Brianna Fava Ph.d. NPPES

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

BRIANNA FAVA PH.D. (NPI 1851586408) is an individual clinical provider in Shoreham, New York, licensed in New York (019661) and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1851586408

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameBRIANNA FAVACredential: PH.D.

Location Address45 ROUTE 25A STE A2Shoreham, NY 11786-1389

Mailing Address6 Sunset Ln EMiller Place, NY 11764-1644 · (631) 655-3021

Phone(631) 655-3021

Sole ProprietorNo

Enumeration DateSeptember 6, 2007

Last NPPES UpdateOctober 12, 2012

✔ NPI 1851586408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NY · 019661

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

45 ROUTE 25A STE A2, Shoreham, NY 11786

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Other Identifiers 3

Other1285628552NY · Npi Number

Medicaid00355940NY

Medicare PINWVE061NY

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MARY LEE HASBROUCK LCSW

Social Worker (Clinical)

45 ROUTE 25A STE A2
SHOREHAM, NY 11786

Suffolk County (631) 821-5056

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 Brianna Fava's NPI number?

The NPI number for Brianna Fava is 1851586408. It was assigned to this individual provider in the NPPES registry on September 6, 2007.

Where is Brianna Fava located?

Brianna Fava practices at 45 Route 25A Ste A2, Shoreham, NY 11786. The listed phone number is (631) 655-3021.

What is Brianna Fava's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Brianna Fava was last updated on October 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.