John R. Klindienst PH. D. Clinical Psychologist P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

007012 Issued in NY

Legal business name

JOHN R. KLINDIENST PH. D. CLINICAL PSYCHOLOGIST P.C.

Practice address

223 Roanoke Avenue
Riverhead, NY 11901

Phone

(631) 727-1563

Fax

(361) 369-9423

NPI assigned

Nov 4, 2008

Organization subpart

No

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

Authorized official

Name

John R Klindienst, PH. D. P.C.NPI 1952466682

Title

President

Phone

(631) 727-1563

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Richard Klindienst, PH. D

  • Clinical Psychologist
  • Riverhead, NY
  • NPI 1952466682
  Medicare reassignment NPD Authorized official
• Jamie Lynn Nauheim, PH. D., P.C.

  • Clinical Psychologist
  • Riverhead, NY
  • NPI 1598820227
  NPD

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1821242876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 ROANOKE AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012778",
            "telephone_number": "631-727-1563",
            "fax_number": "631-369-9423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 ROANOKE AVENUE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "11901",
            "telephone_number": "631-727-1563",
            "fax_number": "361-369-9423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R. KLINDIENST PH. D. CLINICAL PSYCHOLOGIST P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "KLINDIENST",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-727-1563",
        "authorized_official_credential": "PH. D. P.C."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "007012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer R Hill MD PLLC
• Tamara Jhingoorie, M.S., CCC-SLP
• JLC Optical Corp
• JLC Optical, Corp
• John P. Franzone,MD PC
• Stephen J John X, M.D.
• Lynn Ann Johnson, RN
• Zachary Scott Johnson
• Carl J Jones
• Brian Keith Jordan, LMSW

• Clinical Psychologist in Riverhead, NY
• Providers in Riverhead, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.