Fatima Odetalla, NP in Psychiatry, PLLC
NPI 1639771744 · Psychiatric/Mental Health Nurse Practitioner · Nyack, NY
Fatima Odetalla, NP in Psychiatry, PLLC is a Psychiatric/Mental Health Nurse Practitioner organization in Nyack, NY (NPI 1639771744).
Provider details
- NPI number
- 1639771744
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Fatima Odetalla, Owner(901) 590-7680
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Lighthouse Behavioral Health
Registry dates
- Enumerated
- 2020-11-13
- Last updated
- 2020-11-13
- Certified
- 2020-11-13
Frequently asked questions
- What is Fatima Odetalla, NP in Psychiatry, PLLC's NPI number?
- Fatima Odetalla, NP in Psychiatry, PLLC's National Provider Identifier (NPI) is 1639771744, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fatima Odetalla, NP in Psychiatry, PLLC?
- Fatima Odetalla, NP in Psychiatry, PLLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Fatima Odetalla, NP in Psychiatry, PLLC located?
- Fatima Odetalla, NP in Psychiatry, PLLC's practice location on file with NPPES is 99 Main St Ste 302, Nyack, NY 10960-3109.
- What is Fatima Odetalla, NP in Psychiatry, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Fatima Odetalla, NP in Psychiatry, PLLC is (901) 590-7680.
- Who is the authorized official for Fatima Odetalla, NP in Psychiatry, PLLC?
- The authorized official listed on Fatima Odetalla, NP in Psychiatry, PLLC's NPPES record is Fatima Odetalla, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fatima Odetalla, NP in Psychiatry, PLLC's NPI active?
- Yes — Fatima Odetalla, NP in Psychiatry, PLLC's NPI (1639771744) is active in the NPPES registry as of the last update on 2020-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.