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DR. JOANNE S KIM PHD
NPI 1891679403
Psychologist - Clinical in Stony Brook, NY

Active since August 05, 2025PECOS EnrolledAccepts Medicare Assignment
MIND-BODY CLINICAL RESEARCH CENTER PUTNAM HALL, STONY BROOK, NY 11794(631) 632-8657 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Joanne S Kim Phd NPPES

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

DR. JOANNE S KIM PHD (NPI 1891679403) is an individual clinical provider in Stony Brook, New York, licensed in New York (027398) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1891679403
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JOANNE S KIMCredential: PHD
Location AddressMIND-BODY CLINICAL RESEARCH CENTER PUTNAM HALLStony Brook, NY 11794-0001
Mailing Address24 Prospect StGreat Neck, NY 11021-3817
Phone(631) 632-8657
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 5, 2025
NPPES CertifiedAugust 5, 2025
✔ NPI 1891679403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NY · 027398
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
MIND-BODY CLINICAL RESEARCH CENTER PUTNAM HALL, Stony Brook, NY 11794
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Joanne S Kim Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860981339
PECOS Enrollment IDI20251027002375
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 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
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
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 Joanne Kim's NPI number?

The NPI number for Joanne Kim is 1891679403. It was assigned to this individual provider in the NPPES registry on August 5, 2025.

Where is Joanne Kim located?

Joanne Kim practices at Mind-Body Clinical Research Center Putnam Hall, Stony Brook, NY 11794. The listed phone number is (631) 632-8657.

What is Joanne Kim's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Joanne Kim enrolled in Medicare?

Yes. Joanne Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Joanne Kim was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.