Active NPI
David Dodell-Feder, MA
- Clinical Psychologist
- Pittsford, NY
National Provider Identifier
1932549581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 023465
- Practice address
- 121 Sullys TRL Ste 5
Pittsford, NY 14534-4570 - Phone
- (585) 210-8043
- NPI assigned
- Jun 27, 2013
- Last updated
- May 11, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 023465 | NY | Primary |
Addresses
Primary practice location
121 Sullys TRL Ste 5
Pittsford, NY 14534-4570
Mailing address
121 Sullys TRL Ste 5
Pittsford, NY 14534-4570
Phone (585) 210-8043
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 12, 2026 through May 12, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023465 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778457600000",
"number": "1932549581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 SULLYS TRL STE 5",
"city": "PITTSFORD",
"state": "NY",
"postal_code": "145344570",
"telephone_number": "585-210-8043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 SULLYS TRL STE 5",
"city": "PITTSFORD",
"state": "NY",
"postal_code": "145344570",
"telephone_number": "585-210-8043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODELL-FEDER",
"first_name": "DAVID",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-27",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "023465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.