Active NPI
Cayuga Medical Center at Ithaca
- Psychiatric Hospital Unit
- Ithaca, NY
National Provider Identifier
1144397100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- License
- 7247021
- Legal business name
- CAYUGA MEDICAL CENTER AT ITHACA
- Practice address
- 101 Dates Dr
Ithaca, NY 14850-1342 - Phone
- (607) 274-4011
- Fax
- (607) 274-4527
- NPI assigned
- Nov 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca Gould
- Title
- Cfo
- Phone
- (607) 274-4011
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | 7247020 | NY | |
| Psychiatric Hospital Unit | 273R00000X | 7247021 | NY | Primary |
Addresses
Primary practice location
101 Dates Dr
Ithaca, NY 14850-1342
Mailing address
101 Dates Dr
Ithaca, NY 14850-1342
Phone (607) 274-4011
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 365593 | Other | NY | MVP PROVIDER NO |
| 33S307 | Other | NY | BLUE CROSS - PSYCH |
| 00332729 | Medicaid | NY | |
| 5401001H | Other | NY | NYS PROVIDER OPER CERT # |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Binghamton, NY
- NPI 1831379031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744761600000",
"number": "1144397100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 DATES DR",
"city": "ITHACA",
"state": "NY",
"postal_code": "148501342",
"telephone_number": "607-274-4011",
"fax_number": "607-274-4527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 DATES DR",
"city": "ITHACA",
"state": "NY",
"postal_code": "148501342",
"telephone_number": "607-274-4011",
"fax_number": "607-274-4527"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAYUGA MEDICAL CENTER AT ITHACA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-28",
"last_updated": "2025-04-16",
"certification_date": "2025-04-16",
"status": "A",
"authorized_official_last_name": "GOULD",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "607-274-4011"
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": "NY",
"license": "7247020",
"primary": false
},
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": "NY",
"license": "7247021",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP PROVIDER NO",
"identifier": "365593",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS - PSYCH",
"identifier": "33S307",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00332729",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS PROVIDER OPER CERT #",
"identifier": "5401001H",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.