DR. JOHN RICHARD KLINDIENST PH. D
NPI 1952466682
Psychologist - Clinical in Riverhead, NY
About Dr. John Richard Klindienst Ph. D NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN RICHARD KLINDIENST PH. D (NPI 1952466682) is an individual clinical provider in Riverhead, New York, licensed in New York (007012) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1982).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. John Richard Klindienst Ph. D 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.
Medicare Billing Reassignment
Medicare enrollment records show John Klindienst reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Riverhead, NY 11901
- Reassigned Medicare billing, New York enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 John Klindienst's NPI number?
The NPI number for John Klindienst is 1952466682. It was assigned to this individual provider in the NPPES registry on December 22, 2006.
Where is John Klindienst located?
John Klindienst practices at 223 Roanoke Ave, Riverhead, NY 11901. The listed phone number is (631) 727-1563.
What is John Klindienst's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is John Klindienst enrolled in Medicare?
Yes. John Klindienst 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.
Which organization bills Medicare for John Klindienst's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Klindienst reassigns Medicare benefits to John R. Klindienst Ph. D. Clinical Psychologist P.C. (Riverhead, 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 John Klindienst'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 John Klindienst was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. John Richard Klindienst, PH. D · NPI 1952466682
Clinical provider in Riverhead, New York. Individual provider, active in the CMS NPPES registry since December 22, 2006.
## Identity
- **NPI:** 1952466682 (Entity type: Individual)
- **Enumerated:** December 22, 2006
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 007012 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 223 ROANOKE AVE, Riverhead, NY 11901-2778
- **Phone:** (631) 727-1563 · **Fax:** (631) 369-9423
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** John R. Klindienst Ph. D. Clinical Psychologist P.C. (NPI 1821242876, Riverhead, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1982
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare ID-Type Unspecified V54021 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1952466682) · Data from the CMS NPPES public registry.