EXODUSHEALTH MEDICAL, PC
NPI 1083883458
Psychologist in Monroe, NY

Active since February 29, 2008
1200 STATE ROUTE 208, MONROE, NY 10950(845) 281-5009(845) 231-6078 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 9, 2026, Apr 19, 2024, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

About Exodushealth Medical, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EXODUSHEALTH MEDICAL, PC (NPI 1083883458) is a healthcare organization registered as a psychologist in Monroe, New York and active in the NPI registry since February 2008. The organization lists Denise Reidy-knight, Enrollment Supervisor, as its authorized official.

NPPES Registry Identity

NPI1083883458
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameEXODUSHEALTH MEDICAL, PC
Location Address1200 STATE ROUTE 208Monroe, NY 10950-4648
Mailing Address420 E Main StMiddletown, NY 10940-2516 · (845) 294-2595
Fax(845) 231-6078
Organization SubpartNo
Authorized OfficialDenise Reidy-knightEnrollment Supervisor · (845) 551-9673
Enumeration DateFebruary 29, 2008
Last NPPES UpdateMarch 9, 20264 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1083883458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in NY · 212042
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1200 STATE ROUTE 208, Monroe, NY 10950

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Exodushealth Medical, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Exodushealth Medical, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Psychiatry
NPI 1679661979
1200 STATE ROUTE 208 STE 15
Monroe, NY 10950
(845) 837-1635
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Exodushealth Medical, PC's NPI number?

The NPI number for Exodushealth Medical, PC is 1083883458. It was assigned to this organization in the NPPES registry on February 29, 2008.

Where is Exodushealth Medical, PC located?

Exodushealth Medical, PC is located at 1200 State Route 208, Monroe, NY 10950. The listed phone number is (845) 281-5009.

What is Exodushealth Medical, PC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Exodushealth Medical, PC enrolled in Medicare?

Yes. Exodushealth Medical, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Exodushealth Medical, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Exodushealth Medical, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Exodushealth Medical, PC was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.