Active NPI
Paulette Kouffman, PHD
- Psychologist
- New York, NY
National Provider Identifier
1083746929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0153141
- Practice address
- 220 E 23Rd St
Suite 400
New York, NY 10010-4606 - Phone
- (718) 593-7717
- Fax
- (212) 725-1790
- NPI assigned
- Mar 9, 2007
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0153141 | NY | Primary |
Addresses
Primary practice location
220 E 23Rd St
Suite 400
New York, NY 10010-4606
Mailing address
50 Brighton First Rd., Apt. 16D
Brooklyn, NY 11235
Phone (718) 593-7717
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 480731 | Other | NY | VALUE OPTIONS PIN |
| P3244570 | Other | NY | OXFORD INS. PIN |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0153141 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Strand Psychological Services, PA | Past | Accepting new patients | |
| Psychological Services & Human Development Center, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
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- Fort Washington, PA
- NPI 1326027269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083746929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 BRIGHTON FIRST RD., APT. 16D",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11235",
"telephone_number": "718-593-7717",
"fax_number": "212-725-1790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 E 23RD ST",
"address_2": "SUITE 400",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100104606",
"telephone_number": "718-593-7717",
"fax_number": "212-725-1790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOUFFMAN",
"first_name": "PAULETTE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "0153141",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS PIN",
"identifier": "480731",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD INS. PIN",
"identifier": "P3244570",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.