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MATTHEW JOSEPH FAVA PSY.D, MFT
NPI 1881950624
Marriage & Family Therapist in Lodi, CA

Active since April 05, 2012
404 W PINE ST, SUTIE 1, LODI, CA 95240(209) 769-9554(209) 435-0894 Get Directions Write a Review

NPPES record last updated: April 5, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Matthew Joseph Fava Psy.d, Mft NPPES

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

MATTHEW JOSEPH FAVA PSY.D, MFT (NPI 1881950624) is an individual marriage & family therapist in Lodi, California, licensed in California (47392) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1881950624
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMATTHEW JOSEPH FAVACredential: PSY.D, MFT
Location Address404 W PINE ST, SUTIE 1Lodi, CA 95240-2048
Mailing Address404 W Pine St, Sutie 1Lodi, CA 95240-2048 · (209) 769-9554 · Fax (209) 435-0894
Phone(209) 769-9554
Fax(209) 435-0894
Sole ProprietorYes
Enumeration DateApril 5, 2012
✔ NPI 1881950624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 47392
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
404 W PINE ST, Lodi, CA 95240
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Other Providers at the Same Location NPPES 3

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

DR. MICHAEL ROBERT O'CONNELL DC
Chiropractor
404 W PINE ST, STE 14
LODI, CA 95240
San Joaquin County (209) 333-3332
DR. TONI FRANCES REYNOLDS D.C.
Chiropractor
404 W PINE ST, SUITE 4
LODI, CA 95240
San Joaquin County (209) 334-4308
MATTHEW FAVA
Clinic/Center (Mental Health (Including Community Mental Health Center))
404 W PINE ST
LODI, CA 95240
San Joaquin County (209) 769-9554

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 Matthew Fava's NPI number?

The NPI number for Matthew Fava is 1881950624. It was assigned to this individual provider in the NPPES registry on April 5, 2012.

Where is Matthew Fava located?

Matthew Fava practices at 404 W Pine St Sutie 1, Lodi, CA 95240. The listed phone number is (209) 769-9554.

What is Matthew Fava's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Matthew Fava was last updated on April 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.