Shelley S Kaufman PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1389 Issued in AZ

Legal business name

SHELLEY S KAUFMAN PC

Practice address

17505 N 79TH Ave
Suite 315
Glendale, AZ 85308-8725

Phone

(602) 257-0560

NPI assigned

Jul 12, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Shelley Kaufman, PH.D.

Title

President

Phone

(602) 257-0560

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509926400000",
    "number": "1831541069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10863",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853180863",
            "telephone_number": "602-257-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17505 N 79TH AVE",
            "address_2": "SUITE 315",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088725",
            "telephone_number": "602-257-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLEY S KAUFMAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2017-11-06",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-257-0560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "1389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "ZPHD1389",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shirley Jeanette Sheinkopf, M.D.
• Sheitelman Medical Glendale
• Jamie Sheldon, RPH
• Sindy L Sheldon, NP-C
• Tina L Shelledy, LPN
• Ronald K. Shelley, D.M.D.
• Devin Shelton
• Jonathan J Shelton, PSY.D.
• Susan L Shelton, LAC
• Alex Shen, D.O

• Psychologist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; 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.