Dr Kimberly Mullen James, PHD - Medicare Psychologist in Smithtown, NY

Dr Kimberly Mullen James, PHD is a medicare enrolled "Psychologist - Clinical" provider in Smithtown, New York. She graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Stony Brook Psychiatric Associates University Faculty Practice Corpor and her current practice location is 75 Landing Meadow Rd, Smithtown, New York. You can reach out to her office (for appointments etc.) via phone at (631) 360-4700.

Dr Kimberly Mullen James is licensed to practice in New York (license number 014928-1) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689793366.

Contact Information

Dr Kimberly Mullen James, PHD
75 Landing Meadow Rd,
Smithtown, NY 11787-1124
(631) 360-4700
(631) 360-4790

Map and Direction




Healthcare Provider's Profile

Full NameDr Kimberly Mullen James
GenderFemale
SpecialityClinical Psychologist
Experience25 Years
Location75 Landing Meadow Rd, Smithtown, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kimberly Mullen James graduated from medical school in 1999
  NPI Data:
  • NPI Number: 1689793366
  • Provider Enumeration Date: 03/27/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8224028980
  • Enrollment ID: I20040514000401

Medical Identifiers

Medical identifiers for Dr Kimberly Mullen James such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689793366NPI-NPPES
014928-1OtherNYLICENSE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 014928-1 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Stony Brook Psychiatric Associates University Faculty Practice Corpor731583673179

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kimberly Mullen James allows following entities to bill medicare on her behalf.
Entity NameStony Brook Psychiatric Associates University Faculty Practice Corpor
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437105905
PECOS PAC ID: 7315836731
Enrollment ID: O20040313000174

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kimberly Mullen James is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kimberly Mullen James, PHD
242 Cambon Ave,
Saint James, NY 11780-2504

Ph: (631) 584-3403
Dr Kimberly Mullen James, PHD
75 Landing Meadow Rd,
Smithtown, NY 11787-1124

Ph: (631) 360-4700

Reviews and Comments


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