Active NPI
David As Kaufman, PH.D
- Clinical Psychologist
- San Antonio, TX
National Provider Identifier
1447501697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2011028482
- Practice address
- 7272 Wurzbach Rd
Suite 601
San Antonio, TX 78240-4801 - Phone
- (210) 615-3483
- Fax
- (210) 593-9863
- NPI assigned
- Sep 27, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2011028482 | MO | Primary |
Addresses
Primary practice location
7272 Wurzbach Rd
Suite 601
San Antonio, TX 78240-4801
Mailing address
989 Gardenview Office Pkwy
Saint Louis, MO 63141-5917
Phone (314) 591-5564
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2011028482 | Other | MO | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416182400000",
"number": "1447501697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "989 GARDENVIEW OFFICE PKWY",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631415917",
"telephone_number": "314-591-5564",
"fax_number": "314-786-1445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7272 WURZBACH RD",
"address_2": "SUITE 601",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782404801",
"telephone_number": "210-615-3483",
"fax_number": "210-593-9863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFMAN",
"first_name": "DAVID",
"middle_name": "AS",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-27",
"last_updated": "2014-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MO",
"license": "2011028482",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "2011028482",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.