Individual provider Active NPI

Jessica Kaffer, PSY.D.

  • Psychologist
  • Sun City, AZ
National Provider Identifier
1275948663
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4518 Issued in AZ
Practice address
10451 W Palmeras Dr Ste 135
Sun City, AZ 85373-2082
Phone
(309) 252-2410
NPI assigned
Jun 25, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 4518 AZ Primary

Addresses

Primary practice location

10451 W Palmeras Dr Ste 135
Sun City, AZ 85373-2082

Mailing address

10451 W Palmeras Dr Ste 105W
Sun City, AZ 85373-2602
Phone (309) 252-2410

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

State licenses

LicenseStateTypeSpecialty
4518AZMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaffer Psychological Services, LLC Clinical 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1275948663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10451 W PALMERAS DR STE 105W",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853732602",
            "telephone_number": "309-252-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10451 W PALMERAS DR STE 135",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853732082",
            "telephone_number": "309-252-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAFFER",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-25",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "4518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.