Active NPI
Kaufman Psychotherapy Associates LLC
- Clinical Social Worker
- Stamford, CT
National Provider Identifier
1336344712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2597
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela Margaret Kaufman, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336344712 | Other | CT | GOLDEN RULE |
| 1336344712 | Other | CT | CONNECTICARE |
| 1336344712 | Other | CT | PACIFICARE |
| 1700914538 | Other | INDIVIDUAL NPI NUMBER | |
| 5335019 | Other | CT | AETNA |
| 1336344712 | Other | CT | UNITED BEHAVIORAL HEALTH |
| 403348 | Other | CT | MHN |
| 800004226 | Other | CT | MEDICARE INDIVIDUAL PTAN |
| ZS608 | Other | CT | OXFORD |
| 09441 | Other | CT | CIGNA BEHAVIORAL HEALTH |
| 140002597CT05 | Other | CT | ANTHEM LCSW |
| 158568 | Other | CT | GHI/ VALUE OPTIONS-BCBS |
| 158568 | Other | CT | VALUE OPTIONS |
| 300000459CT05 | Other | CT | ANTHEM LADC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Stamford, CT
- NPI 1700914538
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.