Northern Compass Mental Health

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NORTHERN COMPASS MENTAL HEALTH

Practice address

212 Highgate Rd
Ithaca, NY 14850-1436

Phone

(862) 264-9284

NPI assigned

Jan 16, 2024

Last updated

Jan 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leydi Tatiana Fonseca, LCSW/LCADCNPI 1104449032

Title

Mental Hearth Therapist

Phone

(862) 264-9284

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leydi Tatiana Fonseca, LCSW

  • Clinical Social Worker
  • Ithaca, NY
  • NPI 1104449032
  NPD Authorized official

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706313600000",
    "number": "1659132801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 HIGHGATE RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501436",
            "telephone_number": "862-264-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 HIGHGATE RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501436",
            "telephone_number": "862-264-9284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN COMPASS MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-27",
        "certification_date": "2024-01-27",
        "status": "A",
        "authorized_official_last_name": "FONSECA",
        "authorized_official_first_name": "LEYDI",
        "authorized_official_middle_name": "TATIANA",
        "authorized_official_title_or_position": "MENTAL HEARTH THERAPIST",
        "authorized_official_telephone_number": "862-264-9284",
        "authorized_official_credential": "LCSW/LCADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Ithaca, NY
• Providers in Ithaca, 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 27, 2024; 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.