KIMBERLY KAUFMAN PHD
NPI 1912121369
Psychologist - Clinical Child & Adolescent in New York, NY

Q: What is Kimberly Kaufman's NPI number?

The NPI number for Kimberly Kaufman is 1912121369. It was assigned to this individual provider in the NPPES registry on April 13, 2007.

Q: What is Kimberly Kaufman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Kaufman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 13, 2007PECOS EnrolledAccepts Medicare Assignment

577 1ST AVE, NEW YORK, NY 10016(212) 263-6567 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kimberly Kaufman Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY KAUFMAN PHD (NPI 1912121369) is an individual clinical child & adolescent provider in New York, New York, licensed in New York (016272) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (2003).

NPPES Registry Identity

NPI1912121369

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameKIMBERLY KAUFMANCredential: PHD

Location Address577 1ST AVENew York, NY 10016-6404

Mailing Address577 1st AveNew York, NY 10016-6404 · (212) 263-6567

Phone(212) 263-6567

Sole ProprietorNo

Medical School CMSGeorge Washington University School Of MedicineGraduated 2003

Enumeration DateApril 13, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1912121369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in NY · 016272

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

577 1ST AVE, New York, NY 10016

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Kaufman Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365685849

PECOS Enrollment IDI20130903000035

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAROLD KOPLEWICZ MD

Psychiatry & Neurology (Child & Adolescent Psychiatry)