DR. ELIZABETH BRONDOLO PH.D.
NPI 1649644337
Psychologist - Clinical in New York, NY
NPI Status: Active since November 18, 2015
Contact Information
274 MADISON AVE
SUITE 1500
NEW YORK, NY
ZIP 10016
Phone: (212) 942-8532
Fax: (646) 349-4126
- Individual
- Female
- Psychologist
- Clinical
- PECOS Enrolled
- Opted-Out Medicare
About ELIZABETH BRONDOLO
This page provides the complete NPI Profile along with additional information for Elizabeth Brondolo, a provider established in New York, New York with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1649644337 assigned on November 2015. The practitioner's primary taxonomy code is 103TC0700X with license number 010163 (NY). The provider is registered as an individual and her NPI record was last updated 11 years ago.
- NPI
- 1649644337
- Provider Name
- DR. ELIZABETH BRONDOLO PH.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 274 MADISON AVE SUITE 1500 NEW YORK, NY 10016
- Location Phone
- (212) 942-8532
- Location Fax
- (646) 349-4126
- Mailing Address
- 274 MADISON AVE SUITE 1500 NEW YORK, NY 10016
- Mailing Phone
- (212) 942-8532
- Mailing Fax
- (646) 349-4126
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-18-2015
- Last Update Date
- 11-18-2015
- Code Navigator
A clinical psychologist like Elizabeth Brondolo assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Elizabeth Brondolo opted out of Medicare effective on 12-15-2015 until 12-15-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 010163
- License State
- NY
- Taxonomy Description
- A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Medicare Participation & PECOS Enrollment Status
Elizabeth Brondolo is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 12-15-2015
Opt-Out End Date: 12-15-2025
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 10016 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $198.19
- Minimum New Patient Price $65.69
- Maximum New Patient Price $198.19
- Average New Patient Copayment $49.54
- Minimum New Patient Copayment $16.42
- Maximum New Patient Copayment $49.54
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $114.88
- Minimum Established Patient Price $21.2
- Maximum Established Patient Price $160.66
- Average Established Patient Copayment $28.72
- Minimum Established Patient Copayment $5.3
- Maximum Established Patient Copayment $40.16
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1649644337, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 73 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649644337, enumerated as an "individual" on November 18, 2015.
The provider is located at 274 MADISON AVE SUITE 1500 NEW YORK, NY 10016 and the phone number is (212) 942-8532.
Psychologist with taxonomy code 103TC0700X and a focus in Clinical.
