Active NPI
Sal Fata, LMHC
- Mental Health Counselor
- Albany, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P105966
- Practice address
- 685 Park Ave FL 1
Albany, NY 12208-2905 - Phone
- (914) 255-5625
- NPI assigned
- Jul 20, 2020
- Last updated
- Dec 6, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P105966 | NY | Primary |
| Social Worker | 104100000X | 012549 | NY |
Addresses
Primary practice location
685 Park Ave FL 1
Albany, NY 12208-2905
Mailing address
685 Park Ave FL 1
Albany, NY 12208-2905
Phone (914) 255-5625
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://sal-fata.clientsecure.me/?fbclid=IwAR0eKtGaZmdn0GrUDRPWKSgp29kXqdfnVlApd64k6OLQ3UYZygWXkfzPUoQ | Sal Fata, LMHC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
73 Market St
Yonkers, NY 10710-7602
Phone (914) 682-0700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P105966 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Westchester Medical Group PC | Current | Accepting new patients | |
| Westchester Medical Group, P.C. | Current | Accepting new patients | |
| The Fortune Society | Past | Accepting new patients |
Locations
3030 Westchester Ave
Purchase, NY 10577
Phone (914) 682-6435
800 Westchester Ave
Ste N715
Rye Brook, NY 10573
Phone (914) 607-5730
210 Westchester Ave
White Plains, NY 10604
Phone (914) 681-3100
73 Market St
Yonkers, NY 10710
Phone (914) 848-8030
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba WESTMED Medical Group
- Critical Care Medicine (Internal Medicine) Physician
- Rye Brook, NY
- NPI 1881653822
-
dba Westmed Medical Group
- Durable Medical Equipment & Medical Supplies
- Greenwich, CT
- NPI 1790560878
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Long Island City, NY
- NPI 1952079089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670284800000",
"number": "1073121711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "685 PARK AVE FL 1",
"city": "ALBANY",
"state": "NY",
"postal_code": "122082905",
"telephone_number": "914-255-5625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "685 PARK AVE FL 1",
"city": "ALBANY",
"state": "NY",
"postal_code": "122082905",
"telephone_number": "914-255-5625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FATA",
"first_name": "SAL",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-20",
"last_updated": "2022-12-06",
"certification_date": "2022-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "P105966",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "012549",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://sal-fata.clientsecure.me/?fbclid=IwAR0eKtGaZmdn0GrUDRPWKSgp29kXqdfnVlApd64k6OLQ3UYZygWXkfzPUoQ",
"affiliation": "Y",
"endpointDescription": "Website",
"affiliationName": "Sal Fata, LMHC",
"address_1": "685 Park Ave Fl 1",
"city": "Albany",
"state": "NY",
"country_code": "US",
"postal_code": "122082905",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.