Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fatima Odetalla, NP in Psychiatry, PLLC

Organization Family Nurse Practitioner · NPI 1639771744

Fatima Odetalla, NP in Psychiatry, PLLC is a Family Nurse Practitioner in Nyack, New York. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

99 Main St Ste 302
Nyack, NY 10960-3109
Phone: (901) 590-7680
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1639771744
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fatima Odetalla — Owner · (901) 590-7680
Other names Lighthouse Behavioral Health
NPI enumeratedNovember 13, 2020
Last updated in NPPESNovember 13, 2020
Certification dateNovember 13, 2020
Mailing address65 E Maltbie Ave, Suffern, NY 10901-6007

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