James Leonard Haines-Burnham, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R061504 Issued in NY

Practice address

415 N Tioga St
Ithaca, NY 14850-4228

Phone

(607) 342-6219

NPI assigned

Mar 28, 2007

Sex

Male

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tompkins CountyGroup PAC ID 0143210443, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tompkins County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ithaca, NY
  • NPI 1588686596
  Medicare reassignment Care Compare group NPD
• Shakespeare & Muscente LCSW, PLLC

  • Community/Behavioral Health Agency
  • Ithaca, NY
  • NPI 1609015536
  Medicare reassignment NPD

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699894998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 UTICA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148503642",
            "telephone_number": "607-342-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N TIOGA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504228",
            "telephone_number": "607-342-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAINES-BURNHAM",
        "first_name": "JAMES",
        "middle_name": "LEONARD",
        "name_prefix": "Mr.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R061504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert C Hackman, LAC
• Eve Mercer Hadley, M.S. CCC-SLP
• Amy E Haefner, PT
• Karen F Haesloop, FNP
• Samantha K Haggard, OTD, OTR/L
• Elizabeth Ann Hales, N.P., PH.D.
• Alexandra Hall, M.D.
• Kari Beth Hall, M.S., CCC-SLP
• Suki Montgomery Hall, PH.D.
• Susan Hall, RPH

• Clinical Social Worker in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.