Karin Lee Theurer-Kaufman, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

009460-1 Issued in NY

Practice address

11 Hunt Club Dr
Honeoye Falls, NY 14472-9121

Phone

(585) 734-4768

Fax

(585) 367-4734

NPI assigned

Mar 4, 2013

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 NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1720329642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HUNT CLUB DR",
            "city": "HONEOYE FALLS",
            "state": "NY",
            "postal_code": "144729121",
            "telephone_number": "585-734-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 HUNT CLUB DR",
            "city": "HONEOYE FALLS",
            "state": "NY",
            "postal_code": "144729121",
            "telephone_number": "585-734-4768",
            "fax_number": "585-367-4734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEURER-KAUFMAN",
        "first_name": "KARIN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-04",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "009460-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Marin Spencer, PHARM D
• Mark Allen Spezzano, PHD, LCSW-R
• Marianne Springstead-Rose, SPECIAL EDUCATOR
• Edmond S Sun, RPH
• Tamara Leigh Taylor, OT
• Richard Peter Tomaselli, M.A., M.S.
• Village of Honeoye Falls
• Amie E Wagner, LCSW
• Kacie R Waite, M.S., CCC-SLP
• Walgreen Co

• Psychologist in Honeoye Falls, NY
• Providers in Honeoye Falls, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.