Individual provider Active NPI

Janice Meryl Kaufman, PHD

  • Clinical Psychologist
  • Winchester, MA
National Provider Identifier
1740220722
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3990 Issued in MA
Practice address
611 Main St
Suite 201
Winchester, MA 01890-1900
Phone
(781) 721-7311
Fax
(781) 756-1919
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3990 MA Primary

Addresses

Primary practice location

611 Main St
Suite 201
Winchester, MA 01890-1900

Mailing address

611 Main St
Suite 201
Winchester, MA 01890-1900
Phone (781) 721-7311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20070530000061 MA Practitioner - Clinical Psychologist 6800993767 Practice locations: Winchester, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Pittsburgh School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

611 Main St
Winchester, MA 01890-1900
Phone (781) 721-7311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1740220722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 MAIN ST",
            "address_2": "SUITE 201",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901900",
            "telephone_number": "781-721-7311",
            "fax_number": "781-756-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 MAIN ST",
            "address_2": "SUITE 201",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901900",
            "telephone_number": "781-721-7311",
            "fax_number": "781-756-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "JANICE",
        "middle_name": "MERYL",
        "name_prefix": "Mrs.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "3990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, MA

Sources for this page

Verify at the official NPI Registry.