Active NPI
Ineke Demuynck
- Marriage & Family Therapist
- Ithaca, NY
National Provider Identifier
1740724533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 001531
- Practice address
- 122 W Court St
Ithaca, NY 14850-4165 - Phone
- (607) 288-2803
- NPI assigned
- Dec 13, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 001531 | NY | Primary |
Addresses
Primary practice location
122 W Court St
Ithaca, NY 14850-4165
Mailing address
122 W Court St
Ithaca, NY 14850-4165
Phone (607) 288-2803
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250328001077 | NY | Practitioner - Marriage and Family Therapist | 4587187794 | Practice locations: Ithaca, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2000
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
122 W Court St
Suite 204
Ithaca, NY 14850-4165
Phone (607) 288-2803
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001531 | NY | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547596800000",
"number": "1740724533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 W COURT ST",
"city": "ITHACA",
"state": "NY",
"postal_code": "148504165",
"telephone_number": "607-288-2803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 W COURT ST",
"city": "ITHACA",
"state": "NY",
"postal_code": "148504165",
"telephone_number": "607-288-2803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMUYNCK",
"first_name": "INEKE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-13",
"last_updated": "2019-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "001531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ithaca, NY
- Thomas Delara, MSW
- Emily Delucia, PHARMD
- Chantalise M Demarco
- Molleen M Dematteo, RN
- Patricia A. Dematteo, LCSW
- Tracey Denardo
- Denise S. Wittlin-Horvath Licensed Clinical Social Worker, PLLC
- Denise S. Wittlin-Horvath Psychiatric Nurse Practitioner, PLLC
- Dennis Gould DPM PLLC
- Dental Care With a Difference, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.