HARVEY I KAUFMAN (NPI# 1972574143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972574143 |
Entity Type | Individual |
Full Name | HARVEY I KAUFMAN |
Credential | PHD |
Practice Address |
3805b Spring St Suite 120 Racine WI 53405-1641 |
Practice Telephone | 2626318550 |
Practice Fax Number | 2626318557 |
Mailing Telephone | 2626318550 |
Mailing Fax Number | 2626318557 |
Enumeration Date | 2006-01-27 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | 45057 | WI | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 39063400 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801952726 | Harvey L Kaufman | Family Medicine | 31 Leith Hill Dr, Cherry Hill, NJ 08003-2621 | 2006-12-28 |
1689750788 | Harvey Peter Kaufman | Psychologist | 2 Forest Ct, Knoxville, TN 37919-5001 | 2006-10-31 |
1104130954 | Harvey Willard Kaufman | Pathology | 3 Giralda Farms, Madison, NJ 07940-1027 | 2010-08-04 |
Street Address |
3805B SPRING ST SUITE 120 |
City | RACINE |
State | WI |
Zip Code | 53405-1641 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033119276 | John A Martini | Family Medicine | 3805b Spring St, Ste 250, Racine, WI 53405-1641 | 2005-07-29 |
1649574054 | E Bruns Foot and Ankle Sc | Podiatrist | 3805b Spring St, Suite 340, Racine, WI 53405-1641 | 2010-12-28 |
1730353517 | Brian Michael Ames | Emergency Medicine | 3805b Spring St, Ste 230, Racine, WI 53405-1643 | 2008-04-14 |
1023204963 | Bruce A Luccas, Md, LLC | Family Medicine | 3805b Spring St, Ste 130, Racine, WI 53405-1641 | 2007-09-24 |
1689712143 | Harry Herman Lippman | Specialist | 3805b Spring St, Suite 220, Racine, WI 53405-1641 | 2007-02-04 |
1528178563 | Nathalie Anne King | Physician Assistant | 3805b Spring St, Suite 320, Racine, WI 53405-1641 | 2006-08-30 |
1508976515 | Michelle Braun | Clinical Neuropsychologist | 3805b Spring St, Suite 320, Racine, WI 53405-1641 | 2006-08-30 |
1780694414 | Lawrence Tolson | Internal Medicine | 3805b Spring St, Suite 260, Racine, WI 53405-1641 | 2006-08-08 |
1659380236 | Byung H. Park | Psychiatry & Neurology | 3805b Spring St, Ste 320, Racine, WI 53405-1641 | 2006-08-05 |
1528082534 | Stephen J. Pagano | Psychiatry & Neurology | 3805b Spring St, Suite 320, Racine, WI 53405-1641 | 2006-07-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609407923 | Anita Kathy Nykaza | Dietitian, Registered | 3805 A Suite 311, Racine, WI 53405 | 2020-01-27 |
1023666062 | Shawn L Drulia | Physician Assistant | 3805 Spring St #320, Racine, WI 53405 | 2019-09-03 |
1235627720 | Oxygen One, Inc. | Durable Medical Equipment & Medical Supplies | 3805a Spring Street, Suite 210, Racine, WI 53405 | 2018-04-30 |
1356838650 | Melissa Metzger | Psychologist | 2340 Mohr Ave, Racine, WI 53405 | 2018-04-23 |
1689029217 | Melissa Ileen Swainston | Nurse Practitioner | 3803 Spring St., Suite Number 410, Racine, WI 53405 | 2016-05-02 |
1215305487 | Denetta Lauraelaine Flowers | Licensed Practical Nurse | 4311 Durand Ave., #104, Mt.pleasant, WI 53405 | 2015-09-04 |
1841675204 | Colleen Koderca | Registered Nurse | 3317-meachem Rd, Racine, WI 53405 | 2015-07-28 |
1790102986 | Georges Wakim | Specialist/Technologist | 3811 Spring St., Suite 102, Racine, WI 53405 | 2014-03-25 |
1982021176 | Matthew F Patzke | Specialist/Technologist | 3811 Spring Street Suite 102, Racine, WI 53405 | 2014-03-25 |
1073930269 | Jessica Geisler | Specialist/Technologist | 3811 Spring Street Suite #102, Racine, WI 53405 | 2014-03-25 |
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Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508976515 | Michelle Braun | Clinical Neuropsychologist | 3805b Spring St, Suite 320, Racine, WI 53405-1641 | 2006-08-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578023156 | Midway Clinical Neuropsychologic Institute and Children's Wellness Fou | Clinical Neuropsychologist | 1024 60th Street, Suite 5, Kenosha, WI 53140-4099 | 2019-03-21 |
1114449949 | Tobias D Kaemmerer | Clinical Neuropsychologist | 2901 W Kinnickinnic River Pkwy Ste 417, Milwaukee, WI 53215-3660 | 2017-07-13 |
1972989804 | Anne L Shandera-ochsner | Clinical Neuropsychologist | 212 11th Street, La Crosse, WI 54601 | 2015-08-03 |
1891054441 | Mary Christine Majors | Clinical Neuropsychologist | 625 Wildlife Dr, Fond Du Lac, WI 54937-7708 | 2012-05-16 |
1821360199 | Tiffany M Jacobsen | Clinical Neuropsychologist | 2448 S 102nd St Ste 270, Milwaukee, WI 53227-2147 | 2012-02-02 |
1861625220 | Rebecca L Torres | Clinical Neuropsychologist | 721 American Ave Ste 406, Waukesha, WI 53188-5071 | 2009-09-01 |
1336319979 | Shellie Dee Locke | Clinical Neuropsychologist | 9020 15th Ave, Kenosha, WI 53143-6803 | 2008-03-11 |
1538352935 | Robert George Owens | Clinical Neuropsychologist | 2653 Statdust Trail, Verona, WI 53593-9714 | 2007-08-20 |
1720278005 | Judith Davis | Clinical Neuropsychologist | 716 Roby Rd, Stoughton, WI 53589 | 2007-08-01 |
1821201930 | Bonita P Klein-tasman | Clinical Neuropsychologist | 2441 E Hartford Ave, Garland 210, Milwaukee, WI 53211-3160 | 2007-05-07 |
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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.