ILISSA KAUFMAN MA
NPI 1912707175
Psychologist in Pelham, NY

Active since March 17, 2025
629 FIFTH AVE, PELHAM, NY 10803(914) 368-2995 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2026, Nov 11, 2025, Mar 17, 2025 (3 updates tracked since 2025).

About Ilissa Kaufman Ma NPPES

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

ILISSA KAUFMAN MA (NPI 1912707175) is an individual psychologist in Pelham, New York and active in the NPI registry since March 2025. She maintains a secondary practice location in East Orange.

NPPES Registry Identity

NPI1912707175
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameILISSA KAUFMANCredential: MA
Location Address629 FIFTH AVEPelham, NY 10803-1251
Mailing Address629 Fifth Ave Ste 109Pelham, NY 10803-3708 · (732) 947-0896
Sole ProprietorNo
Enumeration DateMarch 17, 2025
Last NPPES UpdateJanuary 7, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2026
NPI 1912707175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
629 FIFTH AVE, Pelham, NY 10803

Secondary Practice Location 1

Location 160 Evergreen Pl Fl 10East Orange, NJ 07018-2107 · Phone (732) 947-0896

Other Providers at the Same Location NPPES 4

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

Physical Therapist
629 FIFTH AVE
PELHAM, NY 10803
Psychologist
629 FIFTH AVE, IN CARE OF MEDICAL DIRECTOR INC
PELHAM, NY 10803
Chiropractor (Sports Physician)
629 FIFTH AVE, PELHAM HEALING CENTER
PELHAM, NY 10803
Physical Therapist
629 FIFTH AVE
PELHAM, NY 10803

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ilissa Kaufman's NPI number?

The NPI number for Ilissa Kaufman is 1912707175. It was assigned to this individual provider in the NPPES registry on March 17, 2025.

Where is Ilissa Kaufman located?

Ilissa Kaufman practices at 629 Fifth Ave, Pelham, NY 10803. The listed phone number is (914) 368-2995.

What is Ilissa Kaufman's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Ilissa Kaufman was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.