Melinda Fatiga

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P13103 Issued in NY

Practice address

163 S 1St St
Fulton, NY 13069-1721

Phone

(315) 592-4453

NPI assigned

Oct 8, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 9, 2024 through Oct 9, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cac Foundation, Inc.

  • Community/Behavioral Health Agency
  • Fulton, NY
  • NPI 1235548850
  NPD (past)
• Dawn Metott, Mental Health Counselor, PLLC

  • Mental Health Counselor
  • Oswego, NY
  • NPI 1841892353
  NPD (past)
• New Day Rising Cny, LLC

  • Mental Health Counselor
  • Oswego, NY
  • NPI 1669156618
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1194290080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 S 1ST ST",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130691721",
            "telephone_number": "315-592-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 S 1ST ST",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130691721",
            "telephone_number": "315-592-4453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3850 State Route 13",
            "address_purpose": "LOCATION",
            "city": "Pulaski",
            "state": "NY",
            "postal_code": "131422400",
            "country_code": "US",
            "telephone_number": "315-592-4453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FATIGA",
        "first_name": "MELINDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P13103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ashley Evans, LMSW
• Eye Consultants of Syracuse PC
• Familycare Medical Group, PC
• Farah Dermatology & Cosmetics LLC
• Fastcare Family Medical, PC
• Michael W Fay, P.T.
• Cassandra Lauren Fearing, LMFT
• Sabrina Fields, LMSW
• Anne Filipski, MD
• Sarah Anne Finocchiaro, MD

• Mental Health Counselor in Fulton, NY
• Providers in Fulton, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.