DR. ILISA KIM KAUFMAN (NPI# 1730239898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730239898 |
| Entity Type | Individual |
| Full Name | DR. ILISA KIM KAUFMAN |
| Credential | PSY.D |
| Practice Address |
2699 Stirling Rd Suite B-305 Ft Lauderdale FL 33312-6517 |
| Practice Telephone | 9549635363 |
| Mailing Telephone | 9549635363 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY 7363 | FL | Behavioral Health & Social Service Providers |
| Street Address |
2699 STIRLING RD SUITE B-305 |
| City | FT LAUDERDALE |
| State | FL |
| Zip Code | 33312-6517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780126755 | Banyan Recovery Institute | Clinic/Center | 2699 Stirling Rd, Suite B-301, Ft Lauderdale, FL 33312-6517 | 2016-11-08 |
| 1639371362 | Preston L. Waddington | Counselor | 2699 Stirling Rd, Suite B-304, Ft Lauderdale, FL 33312-6517 | 2007-06-04 |
| 1245432012 | Chaim Drizin | Marriage & Family Therapist | 2699 Stirling Rd, C-305a, Ft Lauderdale, FL 33312-6517 | 2007-06-04 |
| 1609090794 | Marjorie Lipton | Social Worker | 2699 Stirling Rd, Suite A-105, Ft Lauderdale, FL 33312-6517 | 2007-04-12 |
| 1578694121 | Caryn B Schorr | Psychiatry & Neurology | 2699 Stirling Rd, Suite C403c, Ft Lauderdale, FL 33312-6517 | 2007-03-07 |
| 1164456125 | Diane Elaine Lefkowitz | Social Worker | 2699 Stirling Rd, Suite C-403d, Ft Lauderdale, FL 33312-6517 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679112965 | Krista Moreno | Marriage & Family Therapist | 2699 Stirling Road Building C Suite 403e, Fort Lauderdale, FL 33312 | 2020-01-03 |
| 1700428026 | Caring Village of Lauderdale LLC | Assisted Living Facility | 408-412 Sw 7th Ave, Fort Lauderdale, FL 33312 | 2019-10-09 |
| 1548742356 | Inspire Acupuncture | Acupuncturist | 1000 Riverside Drive, Fort Lauderdale, FL 33312 | 2018-08-29 |
| 1447762919 | Daniel Desta Bekele | General Practice | 1001 W Las Olas Blvd Apt 4, Fort Lauderdale, FL 33312 | 2017-10-24 |
| 1649798653 | Angel Luis Perez | Nurse Practitioner | 3041 Sw 47 Street, Fort Lauderdale, FL 33312 | 2017-08-30 |
| 1902322738 | Ashley Ingrid Rini | Dentist | 1620 Sw 33rd Ave, Fort Lauderdale, FL 33312 | 2017-08-14 |
| 1548794993 | Elise Cruz | Nurse Practitioner | 3301 Sw 16th Street, Fort Lauderdale, FL 33312 | 2017-04-12 |
| 1619415924 | Antoinette Battle | Nurse Practitioner | 3470 Sw 19th Street, Fort Lauderdale, FL 33312 | 2017-02-07 |
| 1902344252 | Melissa Miller | Counselor | 2962 Southwest 26th Terrace, 204, Fort Lauderale, FL 33312 | 2017-02-07 |
| 1164975934 | Brandon Nieves Stella | Technician, Other | 620 Sw 14th Ter, Fort Lauderdale, FL 33312 | 2016-07-28 |
| Find all providers in zip 33312 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487097713 | Comprehensive Assessments Solutions, LLC | Psychologist | 1975 E Sunrise Blvd Ste 532, Ft Lauderdale, FL 33304-1413 | 2013-04-17 |
| 1841538824 | Jamie Long, Psy.d., P.a. | Psychologist | 2425 E Commercial Blvd Ste 400, Ft Lauderdale, FL 33308-4029 | 2013-01-24 |
| 1841482361 | Rebecca Caroline Harvey | Psychologist | 943 Ne 19th Ave, Ste 205, Ft Lauderdale, FL 33304-3043 | 2007-08-17 |
| 1093847923 | Maura S. Cohen | Psychologist | 621 S Federal Hwy, Suites 1 and 2, Ft Lauderdale, FL 33301-3100 | 2007-03-09 |
| 1699810242 | John Albert La Pointe | Psychologist | 2650 State Road 84, Suite 103, Ft Lauderdale, FL 33312 | 2007-02-21 |
| 1407961378 | Richard Raymond Snider | Psychologist | 2101 S Andrews Ave, Suite #105, Ft Lauderdale, FL 33316-3468 | 2006-08-20 |
| 1770524241 | Dianne E Rosen | Psychologist | 3107 Stirling Rd, Suite 103, Ft Lauderdale, FL 33312-6565 | 2006-06-08 |
| 1376544007 | Victoria Azrin Besalel | Psychologist | 5151 Bayview Dr, Ft Lauderdale, FL 33308-3433 | 2005-08-03 |
| 1427414028 | Tara Schimmel | Psychologist | 6750 N Andrews Ave, Ft Lauderdale, FL 33309-2173 | 2016-01-12 |
| 1275921728 | Jessica M Gurvit Psyd Pa | Psychologist | 514 Se 11th Ct, Suite A, Ft Lauderdale, FL 33316-1111 | 2015-01-07 |
| Find all providers in FT LAUDERDALE | ||||
| City | FT LAUDERDALE |
| Zip Code | 33312 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.