DR. EILEEN KENNEDY-MOORE PH.D.
NPI 1922025758
Psychologist in Princeton, NJ

Active since July 17, 2006Opted out of Medicare · through Apr 1, 2028
601 EWING ST, SUITE C9, PRINCETON, NJ 08540(609) 655-2010 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Eileen Kennedy-moore Ph.d. NPPES

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

DR. EILEEN KENNEDY-MOORE PH.D. (NPI 1922025758) is an individual psychologist in Princeton, New Jersey, licensed in New Jersey (4254) and active in the NPI registry since July 2006. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1922025758
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. EILEEN KENNEDY-MOORECredential: PH.D.
Location Address601 EWING ST, SUITE C9Princeton, NJ 08540-2757
Mailing Address131 N Main StCranbury, NJ 08512-3319 · (609) 395-1456
Sole ProprietorYes
Enumeration DateJuly 17, 2006
Last NPPES UpdateMarch 17, 2026
NPPES CertifiedMarch 17, 2026
NPI 1922025758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NJ · 4254
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
601 EWING ST, Princeton, NJ 08540

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Eileen Kennedy-moore Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2012 through April 1, 2028.

Opt-Out Effective DateApril 1, 2012
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

Internal Medicine
601 EWING ST, SUITE C-13
PRINCETON, NJ 08540
Internal Medicine (Endocrinology, Diabetes & Metabolism)
601 EWING ST, C-8
PRINCETON, NJ 08540
Dentist (Prosthodontics)
601 EWING ST, SUITE B-4
PRINCETON, NJ 08540
Dentist (Pediatric Dentistry)
601 EWING ST
PRINCETON, NJ 08540
Dentist
601 EWING ST, STE A-5
PRINCETON, NJ 08540
Psychologist
601 EWING ST, SUITE C-14
PRINCETON, NJ 08540
Counselor (Mental Health)
601 EWING ST, SUITE C-1
PRINCETON, NJ 08540
Dentist (Endodontics)
601 EWING ST, SUITE A-10
PRINCETON, NJ 08540

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 Eileen Kennedy-moore's NPI number?

The NPI number for Eileen Kennedy-moore is 1922025758. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Eileen Kennedy-moore located?

Eileen Kennedy-moore practices at 601 Ewing St Suite C9, Princeton, NJ 08540. The listed phone number is (609) 655-2010.

What is Eileen Kennedy-moore's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Eileen Kennedy-moore enrolled in Medicare?

No. Eileen Kennedy-moore has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Eileen Kennedy-moore was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.