Active NPI
Kim Lynn Lehnert, PH.D.
- Clinical Psychologist
- Port Jefferson Station, NY
National Provider Identifier
1770668469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 013596
- Practice address
- 5225 Nesconset Hwy
Port Jefferson Station, NY 11776-2053 - Phone
- (631) 328-4262
- Fax
- (631) 504-0476
- NPI assigned
- Oct 25, 2006
- Last updated
- Oct 8, 2025
- Sex
- Female
- 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 | 013596 | NY | Primary |
Addresses
Primary practice location
5225 Nesconset Hwy
Port Jefferson Station, NY 11776-2053
Mailing address
5225 Nesconset Hwy
Port Jefferson Station, NY 11776-2053
Phone (631) 328-4262
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Dec 6, 2017 through Dec 6, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeanette Lorandini, LCSW, PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Port Jefferson Station, NY
- NPI 1184865313
-
- Clinic/Center
- Mount Sinai, NY
- NPI 1508007501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759881600000",
"number": "1770668469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"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"
},
{
"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": {
"last_name": "LEHNERT",
"first_name": "KIM",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.