Raoul L Kaufman, MARRIAGE FAMILY THER

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC15382 Issued in CA

Practice address

2311 Lake Tahoe Blvd
Suite 2
South Lake Tahoe, CA 96150

Phone

(530) 544-1668

Fax

(530) 544-1668

NPI assigned

Dec 3, 2007

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1760664601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17941",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961517941",
            "telephone_number": "530-544-1668",
            "fax_number": "530-542-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 LAKE TAHOE BLVD",
            "address_2": "SUITE 2",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "96150",
            "telephone_number": "530-544-1668",
            "fax_number": "530-544-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "RAOUL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MARRIAGE FAMILY THER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC15382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Leland Kahn, OD
• Watson Kambenja
• Alyna Azalia Vera Kane
• Nicole Karetov, RD
• Jeanie F Kaufman, D.D.S.
• Linda Penney Keel, PH.D.
• Brian N Kelly, PT
• Christianne Bijasa Kernes, LMFT
• Jessica Keys, RD
• Kids Place 4 ABA Inc

• Marriage & Family Therapist in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.