Liberty Resources, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

081146-1 Issued in NY

Legal business name

LIBERTY RESOURCES, INC.

Practice address

1850 County Route 57
Fulton, NY 13069-4908

Phone

(315) 598-4642

Fax

(315) 592-7978

NPI assigned

Jan 5, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Christina Louise Vendetti, LMSW

Title

Therapist

Phone

(315) 598-4642

Specialties & licenses 1

Addresses

Tax ID family

Liberty Resources Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mesa of N.Y., Inc.

  • Community/Behavioral Health Agency
  • Syracuse, NY
  • NPI 1386922185
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angelique Inez Chambers, LMSW

  • Clinical Social Worker
  • Syracuse, NY
  • NPI 1528304003
  NPD (past)

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1386948313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 COUNTY ROUTE 57",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130694908",
            "telephone_number": "315-598-4642",
            "fax_number": "315-592-7978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 COUNTY ROUTE 57",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130694908",
            "telephone_number": "315-598-4642",
            "fax_number": "315-592-7978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "VENDETTI",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "315-598-4642",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "081146-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ed Leclair, LCSW
• Granville Richard Lee
• Amy Lyn Leotta
• Connor Letcher, PNP-C
• Renee M Lewis, LPN
• Liberty Resources, Inc.
• Melanie Lynn Licatese, MSW
• Lisa Lin Lisi
• Jenna Logan, FNP-C
• Joanne Lomber, FNP

• Community/Behavioral Health Agency in Fulton, NY
• Providers in Fulton, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.