Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Casey M Gallagher-Licitra, RN, PMHNP

Individual provider Registered Nurse · NPI 1215439336

Casey M Gallagher-Licitra, RN, PMHNP is a Nurse Practitioner in Ithaca, New York. Qualified in 2024, 2 years ago. Practices with Tompkins County, a 19-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

201 E Green St
Ithaca, NY 14850-5635
Phone: (607) 274-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 101 Dates Dr, Ithaca, NY 14850-1342 — (607) 274-4011

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence F405994 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 736778 (NY)

Record details

NPI number1215439336
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , PMHNP
Sole proprietorYes
NPI enumeratedMarch 5, 2018
Last updated in NPPESJanuary 7, 2025
Certification dateJanuary 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Tompkins County — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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