DR. KRISTINE CANGELOSI KEANE (PSY.D.) – Clinical Neuropsychologist, NPI 1316945942

DR. KRISTINE CANGELOSI KEANE (PSY.D.) is a healthcare provider. based in Manasquan, New Jersey. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 35SI00424500 (NJ). The NPI Number for DR. KRISTINE CANGELOSI KEANE (PSY.D.) is 1316945942

Main info

Female
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. KRISTINE CANGELOSI KEANE (PSY.D.)
NPI
1316945942
Phone
(732) 223-2519
Address
1417 WINESAP DR
Enumeration Date
8 July 2005
Last Update Date
5 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7329203434
Graduation Year
2001 (25 years ago)
PAC ID
2062435399
Group Practice PAC ID
6305846379
Professional Enrollment ID
I20060112000336
Address ID
NJ087247772BR220XXBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

963 CLINICAL PSYCHOLOGIST in NJ

Provider Addresses for DR. KRISTINE CANGELOSI KEANE (PSY.D.)

  • 1417 WINESAP DR

    MANASQUAN, NJ 087364021

    Phone: (732) 223-2519

    Type: Mailing

  • 58 Maple Ave

    Red Bank, NJ 077011618

    Phone: (732) 920-3434

    Fax: (732) 920-2447

    Type: Location

  • Jack Martin Boulevard, Laurelton, Brick Township, Ocean County, New Jersey, 08724, United States

    SUITE E2

    BRICK, NJ 087247772

    Phone: (732) 920-3434

    Fax: (732) 920-2447

    Type: Location

  • 220 JACK MARTIN BLVD STE E2

    BRICK, NJ 087247772

    Phone: (732) 920-3434

    Fax: (732) 920-2447

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-01-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060112000336IClinical PsychologistNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96139Administration of psychological or neuropsychological test by technician, each additional 30 minutes66388$0
96133Evaluation of neuropsychological test, each additional hour24582$0
96138Administration of psychological or neuropsychological test by technician, first 30 minutes11388$0
96116Exam of neurobehavioral status, first hour9491$0
96132Evaluation of neuropsychological test, first hour8484$0
View full utilization report →

Insurance plans in this area (ZIP 08736)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305846379View full group profile
NameSpecialtyState
Mental Health CounselorNJ
Clinical Social WorkerNY
Clinical PsychologistNJ
Mental Health CounselorNJ
Mental Health CounselorNJ
Clinical PsychologistNJ
-NJ
Mental Health CounselorNJ
Clinical PsychologistNJ
Marriage And Family TherapistNJ

Reviews

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Frequently asked questions

Is DR. KRISTINE CANGELOSI KEANE (PSY.D.) listed with a National Provider Identifier?
Yes — DR. KRISTINE CANGELOSI KEANE (PSY.D.) has NPI 1316945942 on file in the registry.
Is DR. KRISTINE CANGELOSI KEANE (PSY.D.) still an active registrant?
DR. KRISTINE CANGELOSI KEANE (PSY.D.) carries an active NPI according to the public dataset.
What kind of doctor is DR. KRISTINE CANGELOSI KEANE (PSY.D.)?
DR. KRISTINE CANGELOSI KEANE (PSY.D.) is associated with Clinical Neuropsychologist in the directory — Clinical services aligned with this taxonomy classification.
Is DR. KRISTINE CANGELOSI KEANE (PSY.D.) located near Manasquan?
DR. KRISTINE CANGELOSI KEANE (PSY.D.) currently maps to Manasquan, New Jersey in this extract.
When was this NPI issued?
Enumeration for DR. KRISTINE CANGELOSI KEANE (PSY.D.) is noted as July 8, 2005 where the registry provides it.

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