Active NPI
Carol Walter Kaufman, PSY.D.
- Clinical Psychologist
- Homestead, FL
National Provider Identifier
1891908307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY6737
- Practice address
- 311 NE 8TH St
Suite 102
Homestead, FL 33030-4738 - Phone
- (305) 968-6683
- NPI assigned
- May 8, 2007
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY6737 | FL | Primary |
Addresses
Primary practice location
311 NE 8TH St
Suite 102
Homestead, FL 33030-4738
Mailing address
311 NE 8TH St
Suite 102
Homestead, FL 33030-4738
Phone (305) 968-6683
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284508800000",
"number": "1891908307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 NE 8TH ST",
"address_2": "SUITE 102",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330304738",
"telephone_number": "305-968-6683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 NE 8TH ST",
"address_2": "SUITE 102",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330304738",
"telephone_number": "305-968-6683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFMAN",
"first_name": "CAROL",
"middle_name": "WALTER",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2010-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY6737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.