Organization Active NPI

Michele D Kofman Psychologist PC

  • Adult Mental Health Clinic/Center
  • New York, NY
National Provider Identifier
1497148373
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
0178791 Issued in NY
Legal business name
MICHELE D KOFMAN PSYCHOLOGIST PC
Practice address
210 W 70TH St
Suite 01
New York, NY 10023-4304
Phone
(917) 405-3991
NPI assigned
Mar 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Authorized official

Name
Dr. Michele Kofman, PHD MPHNPI 1992944383
Title
President
Phone
(917) 405-3991

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
Adult Mental Health Clinic/Center 261QM0850X 0178791 NY Primary

Addresses

Primary practice location

210 W 70TH St
Suite 01
New York, NY 10023-4304

Mailing address

210 W 70TH St
Suite 01
New York, NY 10023-4304

National Provider Directory

National Provider Directory

Locations

210 W 70th St
Frnt 1
New York, NY 10023
Phone (212) 758-2901

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": "1426464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1497148373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W 70TH ST",
            "address_2": "SUITE 01",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100234304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W 70TH ST",
            "address_2": "SUITE 01",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100234304",
            "telephone_number": "917-405-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE D KOFMAN PSYCHOLOGIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-16",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "KOFMAN",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-405-3991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD MPH"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NY",
            "license": "0178791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 16, 2015; 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.