Active NPI
Patricia Litke Kauffman, M.D.
- Psychiatry Physician
- Belmont, MA
National Provider Identifier
1679531107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 42069
- Practice address
- 18 Moore St
Suite 301
Belmont, MA 02478-2525 - Phone
- (617) 489-4888
- Fax
- (617) 489-4889
- NPI assigned
- May 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 42069 | MA | Primary |
Addresses
Primary practice location
18 Moore St
Suite 301
Belmont, MA 02478-2525
Mailing address
18 Moore St
Suite 301
Belmont, MA 02478-2525
Phone (617) 489-4888
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42069 | Other | MA | MASSACHUSETTS MEDICAL LIC |
| G048576 | Other | CA | CA MEDICAL 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 Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349136000000",
"number": "1679531107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 MOORE ST",
"address_2": "SUITE 301",
"city": "BELMONT",
"state": "MA",
"postal_code": "024782525",
"telephone_number": "617-489-4888",
"fax_number": "617-489-4889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 MOORE ST",
"address_2": "SUITE 301",
"city": "BELMONT",
"state": "MA",
"postal_code": "024782525",
"telephone_number": "617-489-4888",
"fax_number": "617-489-4889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFFMAN",
"first_name": "PATRICIA",
"middle_name": "LITKE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-03",
"last_updated": "2012-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "42069",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSACHUSETTS MEDICAL LIC",
"identifier": "42069",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA MEDICAL LICENSE",
"identifier": "G048576",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Belmont, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.