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DR. AMY LYNN KAVANAUGH PH.D.
NPI 1124681408
Psychologist - Clinical in New Brunswick, NJ

Active since April 22, 2019PECOS Enrolled
123 HOW LN, NEW BRUNSWICK, NJ 08901(732) 448-1000 Get Directions Write a Review

NPPES record last updated: April 22, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Amy Lynn Kavanaugh Ph.d. NPPES

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

DR. AMY LYNN KAVANAUGH PH.D. (NPI 1124681408) is an individual clinical provider in New Brunswick, New Jersey, licensed in New Jersey (35SI00471000) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1124681408
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. AMY LYNN KAVANAUGHCredential: PH.D.
Location Address123 HOW LNNew Brunswick, NJ 08901-3653
Mailing Address3 Tally Ho TrailHillsborough, NJ 08844 · (908) 310-8242
Phone(732) 448-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateApril 22, 2019
✔ NPI 1124681408 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 NJ · 35SI00471000
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.
123 HOW LN, New Brunswick, NJ 08901
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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. Amy Lynn Kavanaugh Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123503133
PECOS Enrollment IDI20260327002104
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 Amy Kavanaugh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Strides In Psychotherapy, PC
1.8 mi
Clinical
15 CLYDE RD, SUITE 102
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 6 clinicians in this Medicare group
NPI 1508082405 (732) 873-3100

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 08901 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
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DORIS EDUARDINA GUITTENS-CARR
Social Worker
123 HOW LN
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 448-1000
DR. FRANCES BARBARA PELLICCIA MD
Pediatrics (Adolescent Medicine)
123 HOW LN
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 448-1000
KELLY ANNE MARTIN RD
Dietitian, Registered
123 HOW LN
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 745-8600
VANESSA GARCIA APN
Nurse Practitioner (Women's Health)
123 HOW LN
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 745-8600
DR. KIM C DIXON M.D.
Internal Medicine
123 HOW LN
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 745-8600
STEFANIE LUNA MSW, LSW
Social Worker
123 HOW LN
NEW BRUNSWICK, NJ 08901
Middlesex County (609) 907-3800
MEGHA PURI
Internal Medicine (Geriatric Medicine)
123 HOW LN
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 745-8600
CATHERINE VAN DOREN RD CDE
Dietitian, Registered
123 HOW LN
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 745-8600

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 Amy Kavanaugh's NPI number?

The NPI number for Amy Kavanaugh is 1124681408. It was assigned to this individual provider in the NPPES registry on April 22, 2019.

Where is Amy Kavanaugh located?

Amy Kavanaugh practices at 123 How Ln, New Brunswick, NJ 08901. The listed phone number is (732) 448-1000.

What is Amy Kavanaugh's specialty?

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

Is Amy Kavanaugh enrolled in Medicare?

Yes. Amy Kavanaugh is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amy Kavanaugh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Kavanaugh reassigns Medicare benefits to Strides In Psychotherapy, PC (Somerset, NJ). 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 Amy Kavanaugh'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 Amy Kavanaugh was last updated on April 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.