Exodushealth Medical, PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

212042 Issued in NY

Legal business name

EXODUSHEALTH MEDICAL, PC

Practice address

1200 State Route 208
Monroe, NY 10950-4648

Phone

(845) 281-5009

Fax

(845) 231-6078

NPI assigned

Feb 29, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Denise Reidy-Knight

Title

Enrollment Supervisor

Phone

(845) 551-9673

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Olanrewaju Olayinka Somorin, MD

  • Addiction Psychiatry Physician
  • Monroe, NY
  • NPI 1679661979
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1083883458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E MAIN ST",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402516",
            "telephone_number": "845-294-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 STATE ROUTE 208",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109504648",
            "telephone_number": "845-281-5009",
            "fax_number": "845-231-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXODUSHEALTH MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "REIDY-KNIGHT",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "ENROLLMENT SUPERVISOR",
        "authorized_official_telephone_number": "845-551-9673"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "212042",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Everkind Doula Inc
• Everthrive Inc.
• Exceldent Dental of Monroe, LLP
• Exodus Clinic LLC
• Exodus Clinic, LLC
• Eye Center Inc.
• Eye Physicians of Orange County PC
• Ezras Choilim Health Center, Inc.
• Joseph Faber, DDS
• Dina R Faiden, MD

• Psychologist in Monroe, NY
• Providers in Monroe, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.