Active NPI
Kelly Moore, PSY.D
- Clinical Psychologist
- Moorestown, NJ
National Provider Identifier
1528466901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS017654
- Practice address
- 128 Bortons Landing Rd
Suite 2
Moorestown, NJ 08057-3011 - Phone
- (856) 261-6590
- NPI assigned
- Dec 16, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS017654 | PA | Primary |
Addresses
Primary practice location
128 Bortons Landing Rd
Suite 2
Moorestown, NJ 08057-3011
Mailing address
PO Box 644
Rancocas, NJ 08073-0644
Phone (856) 261-6590
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS017654 | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788652800000",
"number": "1528466901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 644",
"city": "RANCOCAS",
"state": "NJ",
"postal_code": "080730644",
"telephone_number": "856-261-6590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 BORTONS LANDING RD",
"address_2": "SUITE 2",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080573011",
"telephone_number": "856-261-6590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "KELLY",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-16",
"last_updated": "2026-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS017654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moorestown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.