Individual provider Active NPI

Janis Sue Kaufman, MED, ATR

  • Art Therapist
  • Detroit, MI
National Provider Identifier
1629286471
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
05-090 Issued in MI
Practice address
8600 Woodward Ave
Detroit, MI 48202-2142
Phone
(313) 875-7601
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X 05-090 MI Primary

Addresses

Primary practice location

8600 Woodward Ave
Detroit, MI 48202-2142

Mailing address

520 E 5TH St
Royal Oak, MI 48067-2849
Phone (248) 543-8164

Other names 1

  • Ms. Janis Sue Rossman Former name

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)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
05-090MIMDArt Therapist

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629286471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E 5TH ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672849",
            "telephone_number": "248-543-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 WOODWARD AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022142",
            "telephone_number": "313-875-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "JANIS",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "MED, ATR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "MI",
            "license": "05-090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANIS",
            "last_name": "ROSSMAN",
            "middle_name": "SUE",
            "prefix": "MS.",
            "credential": "MED, ATR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.