DR. PETER LYNN KINGAN (NPI# 1235240367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235240367 |
| Entity Type | Individual |
| Full Name | DR. PETER LYNN KINGAN |
| Credential | PH.D. |
| Practice Address |
31 Oak St 21 Patchogue NY 11772-2887 |
| Practice Telephone | 6314476425 |
| Practice Fax Number | 6317768027 |
| Mailing Telephone | 6314476425 |
| Mailing Fax Number | 6317768027 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
0011037 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01386290 | 05 | |
| NY | CHAMPUS/CHAMPVA | Y042249 | 01 |
| Street Address |
31 OAK ST 21 |
| City | PATCHOGUE |
| State | NY |
| Zip Code | 11772-2887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609838259 | Thomas J Mango Md PC | Specialist | 31 Oak St, Suite 3, Patchogue, NY 11772-2887 | 2006-04-06 |
| 1871818393 | Albert C Esposito | Podiatrist | 31 Oak St, Ste 8, Patchogue, NY 11772-2841 | 2010-03-29 |
| 1356516652 | H. Tad Troutman | Psychologist | 31 Oak St, Suite 21, Patchogue, NY 11772-2841 | 2008-04-28 |
| 1376732289 | Marci Ann Mirisola | Counselor | 31 Oak St, Suite 7, Patchogue, NY 11772-2841 | 2007-10-16 |
| 1346324241 | Colleen Jean Kalman | Social Worker | 31 Oak St, Suite 21, Patchogue, NY 11772-2841 | 2006-10-25 |
| 1780794081 | Albert C Esposito | Podiatrist | 31 Oak St, Suite #8, Patchogue, NY 11772-2841 | 2006-08-30 |
| 1013951557 | Linda S Kline | Social Worker | 31 Oak St, Suite 14, Patchogue, NY 11772-2887 | 2006-06-15 |
| 1336182682 | Sandra A Dacunha | Specialist | 31 Oak St, Suite 27, Patchogue, NY 11772-2887 | 2006-06-14 |
| 1821031550 | Irene F Dashiell | Social Worker | 31 Oak St, Suite 14, Patchogue, NY 11772-2887 | 2006-06-13 |
| 1386601359 | Sultana Yasmin Rahman | Family Medicine | 31 Oak St, Suite # 3, Patchogue, NY 11772-2841 | 2006-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
| 1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
| 1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
| 1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
| 1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
| 1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
| 1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| Find all providers in zip 11772 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484151 | Fred Ronald Waxenberg | Psychologist | 3001 Hewlett Ave, Merrick, NY 11566-5312 | 2020-10-16 |
| 1528672870 | Alexandra E Lamm | Psychologist | 50 W 96th Street, Apt 5a-d, New York, NY 10025 | 2020-09-03 |
| 1699384495 | Illumination Psychology Pllc | Psychologist | 88 Terry Rd Ste 106, Smithtown, NY 11787-3811 | 2020-07-28 |
| 1881212140 | Elizabeth Wilen-berg | Psychologist | 308 W 103rd St Apt 8d, New York, NY 10025-4463 | 2020-07-13 |
| 1396361747 | Jeanna Pagnotta | Psychologist | 109 N 12th St Ste 507, Brooklyn, NY 11249-1002 | 2020-06-22 |
| 1376167544 | Amelio A D'onofrio | Psychologist | 58 E 79th St Fl 4f, New York, NY 10075-0221 | 2020-06-03 |
| 1114540648 | Alexandra Lerner | Psychologist | 10 Whitetail Dr, Ithaca, NY 14850-9458 | 2020-05-19 |
| 1386265882 | Abba Human Services Foundation, Inc | Psychologist | 10 Schriever Ln Ste B, New City, NY 10956-3314 | 2020-05-06 |
| 1750911160 | Julie Herman Hirschfeld | Psychologist | 575 West End Ave. Gr-a-3, New York, NY 10024-2711 | 2020-01-24 |
| 1588204093 | Rebecca Frances Reed | Psychologist | 1 City Pl Apt 610, White Plains, NY 10601-3334 | 2020-01-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.