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Active NPI 1235240367 Individual Practitioner Male Practitioner

Dr. Peter Lynn Kingan , PhD

Psychologist - Counseling • Patchogue, NY

Professional Overview & Biography Verified Profile Summary

Dr. Peter Kingan, PhD is a registered healthcare professional specializing in Psychologist - Counseling in Patchogue, NY. Practice services are available at 31 OAK ST under active NPI credentials.

Frequently performed procedures and clinical services include psychotherapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

31 Oak St
21

Patchogue, NY 117722887

Telephone 6314476425
Fax 6317768027
Associated Practice Facility / Clinic
🏢 Thomas J Mango Md Pc Facility NPI 1609838259

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Counseling in Patchogue, NY

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

Practicing in Patchogue, NY (401 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
40.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90834 Psychotherapy, 45 minutes
103 11 $155.19 $92.91

Medical Specialties & State Licenses

Psychologist - Counseling Primary Specialty

NUCC Taxonomy Code: 103TC1900X

State License NY 0011037

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
01386290 (NY)
Commercial Insurance / Payer ID Champus/champva
Y042249 (NY)

Practice Associates & Co-Workers

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

8 Associated Practitioners
Linda Kline , LCSW

Social Worker - Clinical

NPI 1013951557

Licensed Clinical Social Worker

NPI 1336182682

Licensed Clinical Social Worker

Colleen Kalman , LCSW

Social Worker - Clinical

NPI 1346324241

Licensed Clinical Social Worker

Dr. H. Troutman , PhD

Psychologist - Clinical

NPI 1356516652

Doctor of Philosophy (Ph.D.)

Marci Mirisola , MA, LMHC

Counselor - Mental Health

NPI 1376732289

Master of Arts, Licensed Mental Health Counselor

NPI 1386601359

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 31 OAK ST, 21, PATCHOGUE, NY 117722887 (Tel: 6314476425)

📍
Updated Business Mailing Address July 08, 2007

Registered at 31 OAK ST, 21, PATCHOGUE, NY 117722887 (Tel: 6314476425)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PETER KINGAN, PH.D.

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

Psychologist (License #0011037 in NY)

🟢
Initial NPI Registration & Enumeration August 31, 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: 1235240367
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

31 Oak St, 21

Patchogue, NY 117722887

Phone: 6314476425

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.