DR. EILEEN KENNEDY-MOORE PH.D.
NPI 1922025758
Psychologist in Princeton, NJ
- Individual
- Female
- Psychologist
- PECOS Enrolled
- Opted-Out Medicare
About EILEEN KENNEDY-MOORE
This page provides the complete NPI Profile along with additional information for Eileen Kennedy-moore, a provider established in Princeton, New Jersey with a medical specialization in Psychologist. The healthcare provider is registered in the NPI registry with number 1922025758 assigned on July 2006. The practitioner's primary taxonomy code is 103T00000X with license number 4254 (NJ). The provider is registered as an individual and her NPI record was last updated March 2026.
- NPI
- 1922025758 Verify this NPI
- Provider Name
- DR. EILEEN KENNEDY-MOORE PH.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 601 EWING ST SUITE C9 PRINCETON, NJ 08540
- Location Phone
- (609) 655-2010
- Mailing Address
- 131 N MAIN ST CRANBURY, NJ 08512
- Mailing Phone
- (609) 395-1456
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-17-2006
- Last Update Date
- 03-17-2026
- Code Navigator
A psychologist like Eileen Kennedy-moore studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Eileen Kennedy-moore opted out of Medicare effective on 04-01-2012 until 04-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist
- Taxonomy Code
- 103T00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 4254
- License State
- NJ
- Taxonomy Description
- 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.
Medicare Participation & PECOS Enrollment Status
Eileen Kennedy-moore is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 04-01-2012
Opt-Out End Date: 04-01-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PRINCETON, NJ 08540
PRINCETON, NJ 08540
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922025758, enumerated as an "individual" on July 17, 2006.
The provider is located at 601 EWING ST SUITE C9 PRINCETON, NJ 08540 and the phone number is (609) 655-2010.
Psychologist with taxonomy code 103T00000X.
