Organization Active NPI

Jillian E. Kaufman Psychotherapy & Consulting Services, LLC

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1447959598
Registry record updated Jun 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JILLIAN E. KAUFMAN PSYCHOTHERAPY & CONSULTING SERVICES, LLC
Practice address
80 University PL FL 2C
New York, NY 10003-4564
Phone
(631) 806-4058
NPI assigned
Feb 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2023

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

Authorized official

Name
Dr. Jillian Kaufman, DSW, LCSWNPI 1578090213
Title
Founder/Lead Therapist
Phone
(631) 806-4058

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

80 University PL FL 2C
New York, NY 10003-4564

Mailing address

80 University Place Suite 2C
New York, NY 10003-1691

Other names 1

  • Wavelength Psychotherapy Doing business as

National Provider Directory

National Provider Directory

Locations

80 University Pl
Ste 2C
New York, NY 10003
Phone (631) 806-4058

80 University Pl
Fl 2C
New York, NY 10003
Phone (631) 806-4058

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687651200000",
    "number": "1447959598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 UNIVERSITY PLACE SUITE 2C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 UNIVERSITY PL FL 2C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034564",
            "telephone_number": "631-806-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILLIAN E. KAUFMAN PSYCHOTHERAPY & CONSULTING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-06-25",
        "certification_date": "2023-06-25",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_title_or_position": "FOUNDER/LEAD THERAPIST",
        "authorized_official_telephone_number": "631-806-4058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wavelength Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wavelength Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.