Individual provider Active NPI

Kevin Kavookjian, M.D.

  • Psychiatry Physician
  • Princeton Junction, NJ
National Provider Identifier
1235301706
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA11519400 Issued in NJ
Practice address
88 Princeton Hightstown Rd Ste 202
Princeton Junction, NJ 08550-1100
Phone
(732) 982-2888
Fax
(732) 694-7622
NPI assigned
Mar 25, 2008
Last updated
May 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA11519400 NJ Primary

Addresses

Primary practice location

88 Princeton Hightstown Rd Ste 202
Princeton Junction, NJ 08550-1100

Mailing address

C/O St Marys Health System - Provider Enrollment
PO Box 7291
Lewiston, ME 04243-7291
Phone (207) 777-8950

Other practice location 1

100 Campus Ave
Suite 208
Lewiston, ME 04240-6040
Phone (207) 777-8974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230225000112 NJ Practitioner - Psychiatry 2466528641 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Woods Psychotherapy Services, LLCGroup PAC ID 3476564873, 8 clinicians
New Jersey Behavioral Health PCGroup PAC ID 4284001025, 127 clinicians

Practice addresses (Care Compare)

100 Straube Ctr Blvd
Pennington, NJ 08534-1468
Phone (609) 737-7797

88 Princeton Hightstown Rd
Suite 202
Princeton Junction, NJ 08550-1100
Phone (732) 982-2888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Behavioral Health P.C CurrentSince Dec 1, 2022 Accepting new patients
Woods Psychotherapy Services, LLC CurrentSince Jan 15, 2024 Accepting new patients
Woods Psychotherapy Services LLC Psychiatry Past Accepting new patients
Maine Behavioral Healthcare Past Accepting new patients

Locations

100 Straube Center Blvd
Pennington, NJ 08534
Phone (609) 730-9553

100 Straube Center Blvd
#H1
Pennington, NJ 08534
Phone (609) 737-7797

88 Princeton Hightstown Rd
Ste 202
West Windsor, NJ 08550
Phone (609) 497-4900

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.kevinkavookjian@148376.advancedmd-direct.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1235301706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT",
            "address_2": "PO BOX 7291",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042437291",
            "telephone_number": "207-777-8950",
            "fax_number": "207-777-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 PRINCETON HIGHTSTOWN RD STE 202",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085501100",
            "telephone_number": "732-982-2888",
            "fax_number": "732-694-7622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Campus Ave",
            "address_2": "Suite 208",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042406040",
            "country_code": "US",
            "telephone_number": "207-777-8974",
            "fax_number": "207-777-8946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAVOOKJIAN",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-25",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA11519400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton Junction, NJ

Sources for this page

Verify at the official NPI Registry.