Active NPIIndividual providerSole proprietor

Dr. Gina Favilla, PHD

Psychologist, Clinical in White Plains, New York

NPI Number1922246941
Practice location
75 S Broadway Ste 486, White Plains, NY 10601-4413
Fax
—
Last updated
June 6, 2023

Gina Favilla is a Psychologist, Clinical based in White Plains, NY. Gina Favilla practices in White Plains, NY and has the professional credentials of PHD. The NPI Number for Gina Favilla is 1922246941 and holds a License No. PSY22378 (CA). The current practice location address for Gina Favilla is 75 S Broadway Ste 486, White Plains, NY 10601-4413 and can be reached out via phone at 914-815-1617.

Provider Profile Details

NPI Number
1922246941
Provider Name
Gina Favilla
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
75 S Broadway Ste 486, White Plains, NY 10601-4413
Phone Number
914-815-1617
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 29, 2009
Last Update Date
June 6, 2023
Certification Date
June 6, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
75 S Broadway Ste 486
White Plains, NY 10601-4413
Zip
10601-4413
Phone Number
914-815-1617
White Plains, NY 10601Get directions →

Provider Business Mailing Address Details

Address
75 S Broadway Ste 486
White Plains, NY 10601-4413
City
White Plains
State
NY
Zip
10601-4413
Phone Number
914-815-1617

License Information

License Number (1)
PSY22378
License State (1)
CA
Taxonomy (1)
Psychologist, Clinical · 103TC0700X
License Number (2)
018481
License State (2)
NY
Taxonomy (2)
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Gina Favilla, PHD?

The NPI number of Dr. Gina Favilla, PHD is 1922246941. It was assigned on January 29, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Gina Favilla, PHD?

Dr. Gina Favilla, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in CA under license number PSY22378.

Where does Dr. Gina Favilla, PHD practice?

The practice location is 75 S Broadway Ste 486, White Plains, NY 10601-4413. The office can be reached at 914-815-1617 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922246941 directly on the NPPES registry website.

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