Susan Phyllis Kaufman, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810002346 Issued in VA

Practice address

501 Faulconer Dr Ste 2D
Charlottesville, VA 22903-4980

Phone

(434) 963-0324

Fax

(434) 971-5625

NPI assigned

Aug 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Clinical Psychologist

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Beacon Behavioral Health LLC

  • Psychiatry Physician
  • Charlottesville, VA
  • NPI 1275420028
  NPD (past)
• Integrative Healing, LLC

  • Community/Behavioral Health Agency
  • Charlottesville, VA
  • NPI 1154881068
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1528075033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 FAULCONER DR STE 2D",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034980",
            "telephone_number": "434-963-0324",
            "fax_number": "434-971-5625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 FAULCONER DR STE 2D",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034980",
            "telephone_number": "434-963-0324",
            "fax_number": "434-971-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "SUSAN",
        "middle_name": "PHYLLIS",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810002346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Kaufman-Horner, LPC
• David A. Kaufman
• Evan Joel Kaufman, O.D.
• Michael A Kaufman, L.P.C.
• Rebecca A Kaufman, MOT
• Rattandeep Kaur, AG-ACNP
• Varinder Kaur, MD
• Mark Steven Kavit
• Angela H Kavounas, PT
• Courtney Kawamoto, MS, RD, CSSD

• Clinical Psychologist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.