RICHARD WILLIAM FAVER (MA, L.P.) – Clinical Psychologist, NPI 1346346806
Clinical Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for RICHARD WILLIAM FAVER (MA, L.P.)
9640 Marcella Dr NE
Bemidji, MN 566017030
Phone: (218) 407-2595
Type: Location
145 Santa Florence Rd
Alamogordo, NM 883109467
Phone: (218) 586-2876
Type: Location
9640 MARCELLA DR NE
BEMIDJI, MN 566017030
Phone: (218) 586-2876
Type: Mailing
522 BELTRAMI AVE NW STE 17
BEMIDJI, MN 566013182
Phone: (218) 407-2595
Type: Location
210, Beltrami Avenue Northwest, Bemidji, Beltrami County, Minnesota, 56601, United States
BEMIDJI, MN 566014008
Phone: (218) 751-0282
Fax: (218) 751-0870
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-04-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240411002395 | I | Psychologist Billing Independently | MN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 56601)
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