Ilissa Kaufman, MA

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

629 Fifth Ave
Pelham, NY 10803-1251

Phone

(914) 368-2995

NPI assigned

Mar 17, 2025

Sex

Female

Sole proprietor

No

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

Credentials

Master of Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Upshur Bren Psychology Group

  • Clinical Psychologist
  • Pelham, NY
  • NPI 1710764329
  NPD (past)
• Youth Consultation Service Inc

  • Community/Behavioral Health Agency
  • East Orange, NJ
  • NPI 1205975927
  NPD (past)
• Youth Consultation Service, Inc

  • Community/Behavioral Health Agency
  • Union City, NJ
  • NPI 1447013735
  NPD (past)

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1912707175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 FIFTH AVE STE 109",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108033708",
            "telephone_number": "732-947-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 FIFTH AVE",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108031251",
            "telephone_number": "914-368-2995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Evergreen Pl Fl 10",
            "address_purpose": "LOCATION",
            "city": "East Orange",
            "state": "NJ",
            "postal_code": "070182107",
            "country_code": "US",
            "telephone_number": "732-947-0896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "ILISSA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-17",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cluny Joseph-Savage
• Shernette S Julal
• Nwakibe Kanu
• Amy S Kass, LCSWR
• Katherine Garden
• Nadeem Kausar, R.PH
• Kaitlin Keeley, PT, DPT
• Irina Kessler
• Susan Surujdai Khemraj
• Nicole Killoran

• Psychologist in Pelham, NY
• Providers in Pelham, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.