Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Renee Madathil, PHD

Individual provider Clinical Neuropsychologist · NPI 1639595879

Dr. Renee Madathil, PHD is a Clinical Psychologist in Rochester, New York. Qualified in 2014, 12 years ago. Practices with Trauma Burn Emergency Surgery of the University of Rochester, a 23-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2014
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

601 Elmwood Ave
Rochester, NY 14642-0001
Phone: (585) 275-3271
Fax: (585) 442-2949
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1959 Ne Pacific St, Seattle, WA 98195-0001 — (206) 685-9854
  • 1959 Ne Pacific St, Seattle, WA 98195-0001 — (206) 685-9854

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 022028 (NY)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence 22028 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1639595879
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedMarch 12, 2014
Last updated in NPPESJune 29, 2023
Mailing address601 Elmwood Ave Box 664, Rochester, NY 14642-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Trauma Burn Emergency Surgery Of The University Of Rochester — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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