Organization Active NPI

Kim Lehnert, Psychology, PH.D., PLLC

  • Clinical Psychologist
  • Port Jefferson Station, NY
National Provider Identifier
1184865313
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
013596 Issued in NY
Legal business name
KIM LEHNERT, PSYCHOLOGY, PH.D., PLLC
Practice address
5225 Nesconset Hwy
Port Jefferson Station, NY 11776-2053
Phone
(631) 328-4262
Fax
(631) 504-0476
NPI assigned
Mar 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Authorized official

Name
Dr. Kim Lynn Lehnert, PH.D.
Title
Clinical Psychologist
Phone
(631) 974-1443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 013596 NY Primary

Addresses

Primary practice location

5225 Nesconset Hwy
Port Jefferson Station, NY 11776-2053

Mailing address

224 Liberty Ave
Port Jefferson, NY 11777-2010
Phone (631) 974-1443

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1184865313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 LIBERTY AVE",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772010",
            "telephone_number": "631-974-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 NESCONSET HWY",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762053",
            "telephone_number": "631-328-4262",
            "fax_number": "631-504-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM LEHNERT, PSYCHOLOGY, PH.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "LEHNERT",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "631-974-1443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "013596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.