Active NPI
Kaufman Psychological Services, PLLC
- Psychologist
- Detroit, MI
National Provider Identifier
1356921282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- KAUFMAN PSYCHOLOGICAL SERVICES, PLLC
- Practice address
- 511 Beaubien St # 8
Detroit, MI 48226-4309 - Phone
- (616) 990-0105
- NPI assigned
- Apr 13, 2021
- 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
- Dr. Calder William Kaufman, PSYD
- Title
- Owner
- Phone
- (616) 990-0105
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
511 Beaubien St # 8
Detroit, MI 48226-4309
Mailing address
511 Beaubien St # 8
Detroit, MI 48226-4309
National Provider Directory
National Provider DirectoryLocations
511 Beaubien St
#8
Detroit, MI 48226
Phone (616) 990-0105
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 Psychologist
- Troy, MI
- NPI 1124337985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618272000000",
"number": "1356921282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 BEAUBIEN ST # 8",
"city": "DETROIT",
"state": "MI",
"postal_code": "482264309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 BEAUBIEN ST # 8",
"city": "DETROIT",
"state": "MI",
"postal_code": "482264309",
"telephone_number": "616-990-0105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAUFMAN PSYCHOLOGICAL SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-13",
"last_updated": "2021-04-13",
"certification_date": "2021-04-13",
"status": "A",
"authorized_official_last_name": "KAUFMAN",
"authorized_official_first_name": "CALDER",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "616-990-0105",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.