Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Exodushealth Medical, PC

Organization Psychologist · NPI 1083883458

Exodushealth Medical, PC provides Psychologist services in Monroe, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1200 State Route 208
Monroe, NY 10950-4648
Phone: (845) 281-5009
Fax: (845) 231-6078
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 212042 (NY)
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1083883458
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Denise Reidy-Knight — Enrollment Supervisor · (845) 551-9673
NPI enumeratedFebruary 29, 2008
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026
Mailing address420 E Main St, Middletown, NY 10940-2516

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