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CHRISTOPHER CHRISTODOULOU PHD
NPI 1184155210
Clinical Neuropsychologist in Stony Brook, NY

Active since March 21, 2017PECOS EnrolledAccepts Medicare Assignment
169 PUTNAM HL, STONY BROOK, NY 11794(631) 632-9510(631) 632-5870 Get Directions Write a Review

NPPES record last updated: March 21, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Christopher Christodoulou Phd NPPES

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

CHRISTOPHER CHRISTODOULOU PHD (NPI 1184155210) is an individual clinical neuropsychologist in Stony Brook, New York, licensed in New York (012708) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1184155210
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameCHRISTOPHER CHRISTODOULOUCredential: PHD
Location Address169 PUTNAM HLStony Brook, NY 11794-0001
Mailing AddressPo Box 1559Stony Brook, NY 11790-0989 · (631) 444-2990 · Fax (631) 444-1560
Phone(631) 632-9510
Fax(631) 632-5870
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateMarch 21, 2017
✔ NPI 1184155210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in NY · 012708
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
169 PUTNAM HL, Stony Brook, NY 11794
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Christopher Christodoulou Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375829831
PECOS Enrollment IDI20170417002016
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Christopher Christodoulou reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stony Brook Psychiatric Associates, University Faculty Practice Corpor
40 mi
Psychiatry
SUNY @ STONY BROOK, HSC, L10, RM 020
Stony Brook, NY 11794
  • Reassigned Medicare billing, New York enrollment
  • 133 clinicians in this Medicare group
NPI 1437105905 (631) 444-8125

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 Christopher Christodoulou's NPI number?

The NPI number for Christopher Christodoulou is 1184155210. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Where is Christopher Christodoulou located?

Christopher Christodoulou practices at 169 Putnam Hl, Stony Brook, NY 11794. The listed phone number is (631) 632-9510.

What is Christopher Christodoulou's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Christopher Christodoulou enrolled in Medicare?

Yes. Christopher Christodoulou is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Christopher Christodoulou's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christopher Christodoulou reassigns Medicare benefits to Stony Brook Psychiatric Associates, University Faculty Practice Corpor (Stony Brook, NY). The 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 Christopher Christodoulou's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Christopher Christodoulou was last updated on March 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.