Active NPI
Alan Kauffman, PSY.D.
- Psychologist
- Little Rock, AR
National Provider Identifier
1356357883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 87-21P
- Practice address
- 16 Buttermilk Rd
Little Rock, AR 72227-6432 - Phone
- (501) 228-0747
- Fax
- (501) 228-0304
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 87-21P | AR | Primary |
Addresses
Primary practice location
16 Buttermilk Rd
Little Rock, AR 72227-6432
Mailing address
16 Buttermilk Rd
Little Rock, AR 72227-6432
Phone (501) 228-0747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87-21P | AR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334793600000",
"number": "1356357883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 BUTTERMILK RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722276432",
"telephone_number": "501-228-0747",
"fax_number": "501-228-0304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 BUTTERMILK RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722276432",
"telephone_number": "501-228-0747",
"fax_number": "501-228-0304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFFMAN",
"first_name": "ALAN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2012-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AR",
"license": "87-21P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.