Active NPI
Kaufman Psychological Services
- Clinical Neuropsychologist
- Portland, ME
National Provider Identifier
1083998611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- Legal business name
- KAUFMAN PSYCHOLOGICAL SERVICES
- Practice address
- 1321 Washington Ave Ste 102
Portland, ME 04103-3636 - Phone
- (207) 878-1777
- Fax
- (207) 839-7733
- NPI assigned
- Sep 30, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christopher James Kaufman, PH.D.
- Title
- Clinical Director
- Phone
- (207) 878-1717
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | Primary | ||
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Clinical Child & Adolescent Psychologist | 103TC2200X | |||
| School Psychologist | 103TS0200X |
Addresses
Primary practice location
1321 Washington Ave Ste 102
Portland, ME 04103-3636
Mailing address
1321 Washington Ave Ste 102
Portland, ME 04103-3636
Phone (207) 878-1777
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317340800000",
"number": "1083998611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 WASHINGTON AVE STE 102",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041033636",
"telephone_number": "207-878-1777",
"fax_number": "207-839-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321 WASHINGTON AVE STE 102",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041033636",
"telephone_number": "207-878-1777",
"fax_number": "207-839-7733"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAUFMAN PSYCHOLOGICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-30",
"last_updated": "2011-09-30",
"status": "A",
"authorized_official_last_name": "KAUFMAN",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "207-878-1717",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TB0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.