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DR. KATHY LEE JUNIOR PH.D
NPI 1235448424
Social Worker - Clinical in Stony Brook, NY

Active since October 05, 2010PECOS Enrolled
58 MAIN ST, STONY BROOK, NY 11790(631) 366-3876 Get Directions Write a Review

NPPES record last updated: October 5, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kathy Lee Junior Ph.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KATHY LEE JUNIOR PH.D (NPI 1235448424) is an individual clinical provider in Stony Brook, New York, licensed in New York (RO34927-1) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1235448424
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDR. KATHY LEE JUNIORCredential: PH.D
Location Address58 MAIN STStony Brook, NY 11790-1913
Mailing Address58 Main StStony Brook, NY 11790-1913 · (631) 366-3876
Phone(631) 366-3876
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateOctober 5, 2010
✔ NPI 1235448424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · RO34927-1
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
58 MAIN ST, Stony Brook, NY 11790
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kathy Lee Junior Ph.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608108659
PECOS Enrollment IDI20191024002147
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kathy Junior reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Island Psychiatry PC
  • Reassigned Medicare billing, New York enrollment
  • 15 clinicians in this Medicare group
No phone listed

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11790 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathy Junior's NPI number?

The NPI number for Kathy Junior is 1235448424. It was assigned to this individual provider in the NPPES registry on October 5, 2010.

Where is Kathy Junior located?

Kathy Junior practices at 58 Main St, Stony Brook, NY 11790. The listed phone number is (631) 366-3876.

What is Kathy Junior's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kathy Junior enrolled in Medicare?

Yes. Kathy Junior is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathy Junior's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathy Junior reassigns Medicare benefits to Island Psychiatry PC (NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathy Junior's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kathy Junior was last updated on October 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.