Ivan D Kaufman, LCSW, MMT

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

26064 Issued in TX

Practice address

7435 La Bolsa Dr
Dallas, TX 75248-4248

Phone

(214) 359-6072

Fax

(214) 359-6072

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1407886054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7435 LA BOLSA DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752484248",
            "telephone_number": "214-359-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7435 LA BOLSA DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752484248",
            "telephone_number": "214-359-6072",
            "fax_number": "214-359-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "IVAN",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "LCSW, MMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "26064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1590812-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naomi Lynn Katz, CPNP-AC
• Warren Jay Katz, MD
• Stephen Lee Katzen, MD
• Kaufman Neurology, PLLC
• Jonathan Kaufman Scher, NP
• Rachel Kozinn Kaufman, MD
• Shifra Kaufman, RPH
• Margaret C Kaufmann, MD
• Balbir Kaur, COTA
• Balraj Kaur

• Clinical Social Worker in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.