Samuel David Kaufman, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN-01862 Issued in RI

Practice address

38 Amaral St
Riverside, RI 02915-2205

Phone

(401) 521-5800

Fax

(401) 827-1933

NPI assigned

Aug 20, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Equanimity LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Riverside, RI
  • NPI 1952131385
  NPD Authorized official

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1306326202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 AMARAL ST",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029152205",
            "telephone_number": "401-521-5800",
            "fax_number": "401-827-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 AMARAL ST",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029152205",
            "telephone_number": "401-521-5800",
            "fax_number": "401-827-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "SAMUEL",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-20",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "APRN-01862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shalini Kansal
• Shannon Karbowski, DPT
• Peter Karczmar, MD
• Karren Morrone Dac Ms PT LLC
• Karren Morrone Dac Ms PT LLC
• Anita Kaul, MD
• Samantha Rose Kavanagh, Licsw
• Brian Kavanaugh, PSYD
• Amy Joyce Kaye, PH.D.
• Teresa Alice Kelly-Berry, P.T.

• Psychiatric/Mental Health Nurse Practitioner in Riverside, RI
• Providers in Riverside, RI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.