Individual provider Active NPI

Karen Kauffmann, PH.D.

  • Psychologist
  • Brooklyn, NY
National Provider Identifier
1932697414
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
009543-1 Issued in NY
Practice address
190 Berkeley PL
Brooklyn, NY 11217-3802
Phone
(347) 200-9272
Fax
(718) 638-6799
NPI assigned
Apr 30, 2018
Last updated
Apr 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 009543-1 NY Primary

Addresses

Primary practice location

190 Berkeley PL
Brooklyn, NY 11217-3802

Mailing address

190 Berkeley PL
Brooklyn, NY 11217-3802
Phone (347) 200-9272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Aug 11, 2021 through Aug 11, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
009543NYMDMental Health Counselor
009543-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1932697414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 BERKELEY PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173802",
            "telephone_number": "347-200-9272",
            "fax_number": "718-638-6799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 BERKELEY PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173802",
            "telephone_number": "347-200-9272",
            "fax_number": "718-638-6799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFFMANN",
        "first_name": "KAREN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "009543-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.