ELIANA AJODAN
NPI 1255122586
Psychologist in New York, NY

Active since May 15, 2025PECOS Enrolled
158 W 124TH ST, NEW YORK, NY 10027(332) 243-0338 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Eliana Ajodan NPPES

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

ELIANA AJODAN (NPI 1255122586) is an individual psychologist in New York, New York and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1255122586
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameELIANA AJODAN
Location Address158 W 124TH STNew York, NY 10027-4919
Mailing Address15 Hemlock DrGreat Neck, NY 11024-1233 · (516) 316-4282 · Fax (516) 316-4282
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 15, 2025
NPPES CertifiedMay 15, 2025
✔ NPI 1255122586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
158 W 124TH ST, New York, NY 10027

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eliana Ajodan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375048341
PECOS Enrollment IDI20250923001386
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 Eliana Ajodan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Addiction Medicine
1425 MADISON AVE
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 385 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
158 W 124TH ST
NEW YORK, NY 10027
Psychologist
158 W 124TH ST
NEW YORK, NY 10027
Student in an Organized Health Care Education/Training Program
158 W 124TH ST
NEW YORK, NY 10027
Counselor (Mental Health)
158 W 124TH ST
NEW YORK, NY 10027
Internal Medicine
158 W 124TH ST
NEW YORK, NY 10027
Social Worker
158 W 124TH ST
NEW YORK, NY 10027
Psychologist (Clinical)
158 W 124TH ST
NEW YORK, NY 10027
Psychologist
158 W 124TH ST
NEW YORK, NY 10027

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 Eliana Ajodan's NPI number?

The NPI number for Eliana Ajodan is 1255122586. It was assigned to this individual provider in the NPPES registry on May 15, 2025.

Where is Eliana Ajodan located?

Eliana Ajodan practices at 158 W 124th St, New York, NY 10027. The listed phone number is (332) 243-0338.

What is Eliana Ajodan's specialty?

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

Is Eliana Ajodan enrolled in Medicare?

Yes. Eliana Ajodan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Eliana Ajodan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eliana Ajodan reassigns Medicare benefits to Icahn School Of Medicine At Mount Sinai (New York, 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 Eliana Ajodan'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 Eliana Ajodan was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.