Organization Active NPI

Kaufman Psychotherapy Associates LLC

  • Clinical Social Worker
  • Stamford, CT
National Provider Identifier
1336344712
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2597 Issued in CT
Legal business name
KAUFMAN PSYCHOTHERAPY ASSOCIATES LLC
Practice address
970 Summer St
Stamford, CT 06905-5542
Phone
(203) 363-0793
Fax
(203) 363-0794
NPI assigned
Jun 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Authorized official

Name
Angela Margaret Kaufman, LCSWNPI 1700914538
Title
Owner
Phone
(203) 363-0793

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 2597 CT Primary

Addresses

Primary practice location

970 Summer St
Stamford, CT 06905-5542

Mailing address

970 Summer St
Stamford, CT 06905-5542
Phone (203) 363-0793

Other identifiers 14

IdentifierTypeStateIssuer
1336344712OtherCTGOLDEN RULE
1336344712OtherCTCONNECTICARE
1336344712OtherCTPACIFICARE
1700914538OtherINDIVIDUAL NPI NUMBER
5335019OtherCTAETNA
1336344712OtherCTUNITED BEHAVIORAL HEALTH
403348OtherCTMHN
800004226OtherCTMEDICARE INDIVIDUAL PTAN
ZS608OtherCTOXFORD
09441OtherCTCIGNA BEHAVIORAL HEALTH
140002597CT05OtherCTANTHEM LCSW
158568OtherCTGHI/ VALUE OPTIONS-BCBS
158568OtherCTVALUE OPTIONS
300000459CT05OtherCTANTHEM LADC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071117000085 CT Part B Supplier - Clinic/Group Practice 0547358079 Receives reassigned benefits from 1 practitioner
Practice locations: Ridgefield, CT

National Provider Directory

National Provider Directory

Locations

1011 High Ridge Rd
Ste 100
Stamford, CT 06905
Phone (203) 363-0793

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": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538524800000",
    "number": "1336344712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 SUMMER ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055542",
            "telephone_number": "203-363-0793",
            "fax_number": "203-363-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 SUMMER ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055542",
            "telephone_number": "203-363-0793",
            "fax_number": "203-363-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAUFMAN PSYCHOTHERAPY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2018-10-03",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-363-0793",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "2597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GOLDEN RULE",
            "identifier": "1336344712",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "1336344712",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "1336344712",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1700914538",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5335019",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "1336344712",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "403348",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "800004226",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "ZS608",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "09441",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM LCSW",
            "identifier": "140002597CT05",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI/ VALUE OPTIONS-BCBS",
            "identifier": "158568",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "158568",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM LADC",
            "identifier": "300000459CT05",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.