EXODUSHEALTH MEDICAL, PC (NPI# 1083883458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083883458 |
| Entity Type | Organization |
| Organization Name | EXODUSHEALTH MEDICAL, PC |
| Practice Address |
1200 State Route 208 Monroe NY 10950-4648 |
| Mailing Address |
420 E Main St Middletown NY 10940-2516 |
| Practice Telephone | 8458371635 |
| Practice Fax Number | 8452316078 |
| Mailing Telephone | (845) 294-2595 |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2017-09-22 |
| Authorized Official Name | OLANREWAJU SOMORIN (OWNER) |
| Authorized Official Telephone | 8452942595 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 212042 | NY | Behavioral Health & Social Service Providers |
| Street Address |
1200 STATE ROUTE 208 |
| City | MONROE |
| State | NY |
| Zip Code | 10950-4648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083616486 | Barbara E Kura | Registered Nurse | 1200 State Route 208, Suite 13, Monroe, NY 10950-4648 | 2005-08-15 |
| 1306334552 | Physician Management Services of New York, LLC | Family Medicine | 1200 State Route 208, Monroe, NY 10950-4648 | 2018-04-24 |
| 1760925689 | Wendy Dawn Rodriguez | Nurse Practitioner | 1200 State Route 208, Suite 13, Monroe, NY 10950-4648 | 2016-11-25 |
| 1013302355 | Southern New York Primary Care Services Ipa, LLC | Family Medicine | 1200 State Route 208, Monroe, NY 10950-4648 | 2015-04-03 |
| 1356665442 | James N Mcmonagle | Pharmacist | 1200 State Route 208, Suite 1, Monroe, NY 10950-4648 | 2010-03-18 |
| 1689998007 | Christine C Leoniak | Pharmacist | 1200 State Route 208, Suite 1, Monroe, NY 10950-4648 | 2010-03-15 |
| 1326362724 | John Mark Pietsch | Pharmacist | 1200 State Route 208, Suite#1, Monroe, NY 10950-4648 | 2010-03-15 |
| 1750605168 | Martin Teich | Pharmacist | 1200 State Route 208, Suite 1, Monroe, NY 10950-4648 | 2010-03-15 |
| 1669655502 | Xiomara D Quezada | Physician Assistant | 1200 State Route 208, Ste 13, Monroe, NY 10950-4648 | 2007-12-14 |
| 1891988853 | Madeleine Myers | Nurse Practitioner | 1200 State Route 208, Suite 13, Monroe, NY 10950-4648 | 2007-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588202063 | Tova Schur | Physician Assistant | 2 Strelisk Court, Monroe, NY 10950 | 2019-12-16 |
| 1265947238 | Brenda Ayllene Sabatello | Specialist | 126 Barr Lne, Monroe, NY 10950 | 2017-12-12 |
| 1740719038 | Heartstrings LLC | Home Health | 6 Mountain Road, Unit 204, Monroe, NY 10950 | 2017-06-08 |
| 1841739752 | Committed Home Care Inc. | Home Health | 14 Fillmore Court Unit 311, Monroe, NY 10950 | 2017-02-13 |
| 1104362813 | Alison Guiney | Case Manager/Care Coordinator | 101 Stage Road, Monroe, NY 10950 | 2017-01-19 |
| 1710436332 | Elite Services Ny Inc. | Home Health | 48 Bakertown Road Suite 204, Monroe, NY 10950 | 2016-09-23 |
| 1780047084 | Stephanie Santiago | Occupational Therapy Assistant | 27 Sandra Ln, Monroe, NY 10950 | 2016-04-04 |
| 1851770440 | Priority Home Care Services, Inc. | Home Health | 48 Bakertown Road, Suite 204, Monroe, NY 10950 | 2015-05-28 |
| 1518344274 | Mydesh Inc | Pharmacy | 581 Nys Route 17m, Monroe, NY 10950 | 2015-05-01 |
| 1942694377 | Yenty Fischel | Occupational Therapist | 1 Diner Rd, Monroe, NY 10950 | 2015-03-24 |
| Find all providers in zip 10950 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629553235 | Alyssa Sacka | Psychologist | 25 S Monroe St Ste 303, Monroe, MI 48161-2209 | 2018-09-28 |
| 1548563182 | Gary Kinstlinger | Psychologist | 1 Dinev Court, Monroe, NY 10950 | 2010-12-20 |
| 1013219120 | Jack Grobstein | Psychologist | 22 Merriewold Ln N, Monroe, NY 10950-1916 | 2010-11-22 |
| 1043547235 | James Perrone | Psychologist | 23 Wheeler Rd, Monroe, CT 06468-2420 | 2009-11-09 |
| 1710014873 | Earl H. Baker | Psychologist | 1502 Stubbs Ave, Monroe, LA 71201-5628 | 2007-02-27 |
| 1922180561 | Jacob Kirschenbaum | Psychologist | 315a Forsgate Dr, Monroe, NJ 08831-1539 | 2006-10-20 |
| 1669577201 | William J Medick | Psychologist | 730 N Macomb St Ste 225, Monroe, MI 48162-2969 | 2006-09-14 |
| 1174549190 | Jennifer Lynn Westfal | Psychologist | 1001 S Raisinville Rd, Monroe, MI 48161-9754 | 2006-07-14 |
| 1881629996 | George Philip Popper | Psychologist | 105 E Franklin St, Monroe, NC 28112-4850 | 2006-07-11 |
| 1598711699 | Jennifer L. Cilino-folks | Psychologist | 515 22nd Avenue, Monroe Clinic, Monroe, WI 53566-1569 | 2006-05-26 |
| Find all providers in MONROE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.