Active NPI
Krista Kircanski, PSY.D.
- Cognitive & Behavioral Psychologist
- Princeton, NJ
National Provider Identifier
1639451099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- PS018141
- Practice address
- 20 Nassau St
Suite 250W
Princeton, NJ 08542-4509 - Phone
- (856) 220-9672
- NPI assigned
- Sep 12, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | PS018141 | PA | Primary |
| Cognitive & Behavioral Psychologist | 103TB0200X | NJ |
Addresses
Primary practice location
20 Nassau St
Suite 250W
Princeton, NJ 08542-4509
Mailing address
1910 Route 70 E
Suite 7
Cherry Hill, NJ 08003-2123
Phone (856) 220-9672
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 15, 2025 through Aug 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS018141 | PA | MD | Cognitive & Behavioral Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Center for Emotional Health of Greater Philadelphia, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Cherry Hill, NJ
- NPI 1679807531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479081600000",
"number": "1639451099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 ROUTE 70 E",
"address_2": "SUITE 7",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080032123",
"telephone_number": "856-220-9672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 NASSAU ST",
"address_2": "SUITE 250W",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085424509",
"telephone_number": "856-220-9672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRCANSKI",
"first_name": "KRISTA",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-12",
"last_updated": "2016-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "PA",
"license": "PS018141",
"primary": true
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NJ",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.