DR. RENEE MADATHIL PH.D. NPI 1639595879

NPI Information

NPI: 1639595879
Provider Name: DR. RENEE MADATHIL, PH.D.
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 601 ELMWOOD AVE
ROCHESTER, NY
ZIP 14642
Phone: (585) 275-3271

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NPI Details

DR. Renee Madathil, PH.D. is a clinical neuropsychologist in Rochester, NY with 12 years of experience. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Renee Madathil, PH.D. NPI is 1639595879. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

601 ELMWOOD AVE
ROCHESTER, NY
ZIP 14642-001
Phone: (585) 275-3271
Fax: (585) 442-2949

The NPI 1639595879 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Assessment of health behavior (HCPCS:96156)

The enumeration date for this NPI number is 3/12/2014 and was last updated on 6/29/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	103G00000X	Clinical Neuropsychologist	22028	NEW YORK	No
2	390200000X	Student in an Organized Health Care Education/Training Program			No
3	103G00000X	Clinical Neuropsychologist	022028	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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