Organization Active NPI

Kaffer Psychological Services, LLC

  • Clinical Psychologist
  • Sun City, AZ
National Provider Identifier
1972991214
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
KAFFER PSYCHOLOGICAL SERVICES, LLC
Practice address
10451 W Palmeras Dr Ste 105W
Sun City, AZ 85373-2602
Phone
(309) 252-2410
NPI assigned
Jan 8, 2015
Last updated
Jan 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2015

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

Authorized official

Name
Jessica L Kaffer, PSYDNPI 1275948663
Title
Manager/Owner
Phone
(309) 252-2410

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

10451 W Palmeras Dr Ste 105W
Sun City, AZ 85373-2602

Mailing address

10451 W Palmeras Dr Ste 105W
Sun City, AZ 85373-2602

National Provider Directory

National Provider Directory

Locations

10451 W Palmeras Dr
Ste 105W
Sun City, AZ 85373
Phone (309) 252-2410

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420675200000",
    "number": "1972991214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10451 W PALMERAS DR STE 105W",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853732602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10451 W PALMERAS DR STE 105W",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853732602",
            "telephone_number": "309-252-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAFFER PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-01-08",
        "status": "A",
        "authorized_official_last_name": "KAFFER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "309-252-2410",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; 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.