Individual provider · Type 1 NPI
Casey M. Gallagher-Licitra, RN, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Ithaca, NY
NPI number
1215439336
Active
Practice location
201 E Green St
Ithaca, NY 14850-5635
Mailing address
102 Armstrong Rd
Lansing, NY 14882-8904
Other practice locations
- 101 Dates Dr, Ithaca, NY 14850-1342 · (607) 274-4011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 736778 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | F405994 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
71 other providers at this address
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- Alisa Ann Reynolds, LMSWMental Health Counselor Ithaca, NY NPI 1366244147
- Alison Genia SimioneClinical Social Worker Ithaca, NY NPI 1992414650
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- Bonnielyn F. Jones, RNPsychiatric/Mental Health Registered Nurse Ithaca, NY NPI 1982206009
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Other psychiatric/mental health nurse practitioner providers in Ithaca
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- Denise Syndee Wittlin-Horvath, LCSW-R, RN, NPPPsychiatric/Mental Health Nurse Practitioner Ithaca, NY NPI 1417006818
- Shirley Anne Ladd, NP, LCSWPsychiatric/Mental Health Nurse Practitioner Ithaca, NY NPI 1588709257
- Anne Simone BartonePsychiatric/Mental Health Nurse Practitioner Ithaca, NY NPI 1700496155
- Nicelee Fall Hollenback, NPPPsychiatric/Mental Health Nurse Practitioner Ithaca, NY NPI 1801172614
- Cheryl Rose Kerner, CRNPPsychiatric/Mental Health Nurse Practitioner Ithaca, NY NPI 1841301033
About NPI 1215439336
Casey M. Gallagher-Licitra, RN, PMHNP's National Provider Identifier is 1215439336, issued on Mar 5, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Ithaca, NY. The record was last updated on Jan 7, 2025.