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Deactivated NPI 1366491300 Deactivated / Inactive NPI Male Practitioner

Dr. Peter G. Medonis , EdD

Psychologist - Counseling • Montrose, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Peter Medonis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 08, 2006
NPI Deactivation Date March 12, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Peter Medonis, EdD was a registered Psychologist - Counseling practicing in Montrose, NY. Throughout an active medical career spanning 20 years, Dr. Medonis provided care at the practice location at 2094 ALBANY POST RD until profile deactivation on 2026-03-12.

Practice Location & Contact Primary Location

Practice Address

2094 Albany Post Rd
Route 9a

Montrose, NY 105481454

Telephone 9147374400
Associated Practice Facility / Clinic
🏢 Montrose Vamc Facility NPI 1063460798

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Counseling in Montrose, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
3 Specialists

Practicing in Montrose, NY (401 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - Counseling Primary Specialty

NUCC Taxonomy Code: 103TC1900X

State License NY 012009

A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Sophia Parker , LCSW-R

Social Worker - Clinical

NPI 1003156167

Licensed Clinical Social Worker - Registered

Pedro Gonzalez , MS, CTRS

Recreation Therapist

NPI 1003428228

Master of Science, CTRS

William Madison , LMSW

Counselor - Mental Health

NPI 1003824327

Licensed Master Social Worker

Dr. Maryann Elberth , DSW

Social Worker - Clinical

NPI 1013217223
Evelyn Holmes , MSW, LCSW

Social Worker - Clinical

NPI 1013923721

Master of Social Work, Licensed Clinical Social Worker

Jason Mastropaolo , LCSW

Social Worker - Clinical

NPI 1023249414

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 12, 2026

Record deactivated on March 12, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2094 ALBANY POST RD, ROUTE 9A, MONTROSE, NY 105481454 (Tel: 9147374400)

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Updated Business Mailing Address July 08, 2007

Registered at 2094 ALBANY POST RD, ROUTE 9A, MONTROSE, NY 105481454 (Tel: 9147374400)

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Provider Name / Credentials Updated July 08, 2007

Recorded as PETER MEDONIS, ED.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #012009 in NY)

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Initial NPI Registration & Enumeration May 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366491300
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 08, 2006
Last Update: July 08, 2007
Deactivation Date: March 12, 2026

Mailing Address

2094 Albany Post Rd, Route 9a

Montrose, NY 105481454

Phone: 9147374400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.