DR. ELIZABETH BRONDOLO PH.D.
NPI 1649644337
Psychologist - Clinical in New York, NY

Q: What is Elizabeth Brondolo's NPI number?

The NPI number for Elizabeth Brondolo is 1649644337. It was assigned to this individual provider in the NPPES registry on November 18, 2015.

Q: What is Elizabeth Brondolo's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Elizabeth Brondolo enrolled in Medicare?

No. Elizabeth Brondolo has opted out of Medicare through December 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Active since November 18, 2015Opted out of Medicare · through Dec 15, 2027

274 MADISON AVE, SUITE 1500, NEW YORK, NY 10016(212) 942-8532(646) 349-4126 Get Directions Write a Review

NPPES record last updated: November 18, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Elizabeth Brondolo Ph.d. NPPES

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

DR. ELIZABETH BRONDOLO PH.D. (NPI 1649644337) is an individual clinical provider in New York, New York, licensed in New York (010163) and active in the NPI registry since November 2015. She has opted out of Medicare through December 15, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1649644337

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. ELIZABETH BRONDOLOCredential: PH.D.

Location Address274 MADISON AVE, SUITE 1500New York, NY 10016-0701

Mailing Address274 Madison Ave, Suite 1500New York, NY 10016-0701 · (212) 942-8532 · Fax (646) 349-4126

Phone(212) 942-8532

Fax(646) 349-4126

Sole ProprietorYes

Enumeration DateNovember 18, 2015

✔ NPI 1649644337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NY · 010163

Definition

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.

274 MADISON AVE, New York, NY 10016

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Elizabeth Brondolo Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 15, 2015 through December 15, 2027.

Opt-Out Effective DateDecember 15, 2015

Opt-Out In Effect ThroughDecember 15, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$198.19 typical visit price

range $65.69 – $198.19

Typical copayment $49.54 (range $16.42 – $49.54)

Most-billed visit code 99205

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

REBECCA ELOWE

Counselor (Mental Health)

274 MADISON AVE
NEW YORK, NY 10016

New York County (212) 203-1773

NICOLE LEE VESPER

Nurse Practitioner (Psychiatric/Mental Health)

274 MADISON AVE
NEW YORK, NY 10016

New York County (212) 203-1773

ANDREAN HILL LMSW

Social Worker

274 MADISON AVE
NEW YORK, NY 10016

New York County (914) 354-1257

LEONOR EMATA FRANCISCO PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

274 MADISON AVE
NEW YORK, NY 10016

New York County (212) 203-1773

BRANDON MEDICAL WELLNESS OF NEW YORK PC

Clinic/Center (Health Service)

274 MADISON AVE, STE 705
NEW YORK, NY 10016

New York County (212) 481-0400

YASMIN MOHABBAT M.D.

Psychiatry & Neurology (Psychiatry)

274 MADISON AVE, RM 1501
NEW YORK, NY 10016

New York County (212) 203-1773

YELENA RUBINSHTEYN MD PC

Family Medicine

274 MADISON AVE, SUITE 300
NEW YORK, NY 10016

New York County (212) 201-1217

GILLIAN WOLFSON P.T.

Physical Therapist

274 MADISON AVE, SUITE 201
NEW YORK, NY 10016

New York County (212) 685-1666

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 Elizabeth Brondolo's NPI number?

The NPI number for Elizabeth Brondolo is 1649644337. It was assigned to this individual provider in the NPPES registry on November 18, 2015.

Where is Elizabeth Brondolo located?

Elizabeth Brondolo practices at 274 Madison Ave Suite 1500, New York, NY 10016. The listed phone number is (212) 942-8532.

What is Elizabeth Brondolo's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Elizabeth Brondolo enrolled in Medicare?

No. Elizabeth Brondolo has opted out of Medicare through December 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Elizabeth Brondolo was last updated on November 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.