Organization Active NPI

Thomas M Kaufman PSYD

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Highland Park, IL
National Provider Identifier
1285102020
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
THOMAS M KAUFMAN PSYD
Practice address
584 Cherokee Rd
Highland Park, IL 60035-5258
Phone
(312) 636-8363
NPI assigned
Nov 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2018

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

Authorized official

Name
Thomas Micah Kaufman, PSY.D.NPI 1790205151
Title
Psy.D.
Phone
(312) 636-8363

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

584 Cherokee Rd
Highland Park, IL 60035-5258

Mailing address

584 Cherokee Rd
Highland Park, IL 60035-5258
Phone (312) 636-8363

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541721600000",
    "number": "1285102020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 CHEROKEE RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600355258",
            "telephone_number": "312-636-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 CHEROKEE RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600355258",
            "telephone_number": "312-636-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS M KAUFMAN PSYD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-09",
        "last_updated": "2018-11-09",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MICAH",
        "authorized_official_title_or_position": "PSY.D.",
        "authorized_official_telephone_number": "312-636-8363",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; 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.