DR. SAMANTHA EVE KAUFMAN (NPI# 1104392703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104392703 |
| Entity Type | Individual |
| Full Name | DR. SAMANTHA EVE KAUFMAN |
| Credential | PSYD |
| Practice Address |
6800 Jericho Tpke Ste 120w Syosset NY 11791-4217 |
| Mailing Address |
1 Pine Rd Syosset NY 11791-4217 |
| Practice Telephone | 5163757640 |
| Mailing Telephone | 5163757640 |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2018-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 022944 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | PSYCHOLOGIST LICENSE | 022944 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770148520 | Samantha Jean Kaufman | Social Worker | 385 Leonard St Ne, Grand Rapids, MI 49503-1129 | 2019-05-07 |
| 1033680814 | Samantha Rose Kaufman | Physical Medicine & Rehabilitation | 505 Parnassus Ave, San Francisco, CA 94143-2204 | 2018-12-05 |
| 1548752108 | Samantha Lea Kaufman | Occupational Therapist | 654 Highland Ave Ste 17, Fort Thomas, KY 41075-1762 | 2018-05-30 |
| 1801108386 | Samantha Kaufman | Marriage & Family Therapist | 5041 New Centre Dr, Suite 209, Wilmington, NC 28403-1680 | 2010-07-13 |
| Street Address |
6800 JERICHO TPKE STE 120W |
| City | SYOSSET |
| State | NY |
| Zip Code | 11791-4217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881701845 | Henry E Edwards | Psychiatry & Neurology | 6800 Jericho Tpke, Ste 122w, Syosset, NY 11791-4445 | 2006-08-24 |
| 1801447065 | Nicole D Rodriguez | Health Educator | 6800 Jericho Tpke, Syosset, NY 11791-4436 | 2019-09-27 |
| 1063078582 | Lirijona Bacaliu | Speech-Language Pathologist | 6800 Jericho Tpke, Syosset, NY 11791-4436 | 2019-05-10 |
| 1487122107 | Irina Rozman | Social Worker | 6800 Jericho Tpke, Syosset, NY 11791-4436 | 2018-11-12 |
| 1821565664 | Raafia Tariq | Case Manager/Care Coordinator | 6800 Jericho Tpke, Syosset, NY 11791-4436 | 2018-10-30 |
| 1487170536 | Therapists 2 Go Occup, Physical & Speech Lang Path Srvcs | Skilled Nursing Facility | 6800 Jericho Tpke, Ste 120w, Syosset, NY 11791-4445 | 2017-08-21 |
| 1265720478 | Spine Works for Chiropractic, P.C. | Chiropractor | 6800 Jericho Tpke, Suite 120w, Syosset, NY 11791-4436 | 2011-07-21 |
| 1184917395 | Ny Medical Arts, P.C. | Specialist | 6800 Jericho Tpke, Suite 120w, Syosset, NY 11791-4436 | 2011-05-20 |
| 1518285287 | William Daniel Dease IIi | Occupational Therapist | 6800 Jericho Tpke, Suite 120w, Syosset, NY 11791-4436 | 2010-05-05 |
| 1841524253 | Bomo, Inc. | Counselor | 6800 Jericho Tpke, Suite 122w, Syosset, NY 11791-4436 | 2009-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508491879 | Marjorie Stein, M.d., PC | Internal Medicine | 30 Coach Lane, Muttontown, NY 11791 | 2020-03-07 |
| 1770118168 | Naomi Krikheli | Occupational Therapy Assistant | Cooper Kids Therapy Associates, 2 Roosevelt Ave Sute300, Syosset, NY 11791 | 2020-03-06 |
| 1912482266 | Angela Viviana Depompeis | Student in an Organized Health Care Education/Training Program | 6800 Jericho Turnpike Suite 120w, Syosset, NY 11791 | 2018-10-02 |
| 1063997104 | Stephen William Tozer | Specialist/Technologist | 70 South Woods Road, Syosset, NY 11791 | 2018-09-25 |
| 1295214682 | Cathy Lynn Singer | Nurse Practitioner | 575 Underhill Blvd Ste 210, Syosset, NY 11791 | 2018-08-07 |
| 1831628296 | Amanticia Joseph | Case Manager/Care Coordinator | 40 Oak Drive, Syosset, NY 11791 | 2017-06-08 |
| 1528500758 | James F Creamer | Chiropractor | 15 Beatrice Ave, Syosset, NY 11791 | 2016-11-04 |
| 1053868190 | Diana Eileen Marlow | Registered Nurse | 1597 Laurel Hollow Road, Syosset, NY 11791 | 2016-09-07 |
| 1346796695 | Emily Bregman | Specialist | 33 Picardy Lane, Laurel Hollow, NY 11791 | 2016-08-28 |
| 1962811364 | Leslie Juarez | Registered Nurse | 7 Market Drive, Syosset, NY 11791 | 2014-08-11 |
| Find all providers in zip 11791 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497256440 | Keri Chernuchin, Psy.d. Pllc | Psychologist | 485 Underhill Blvd Ste 107, Syosset, NY 11791-3434 | 2018-02-26 |
| 1437428893 | Joseph Weinreb | Psychologist | 70 Southwoods Rd, Syosset High School, Syosset, NY 11791-3204 | 2011-12-14 |
| 1023317294 | Bruce Hammer | Psychologist | 60 Hunters Dr, Syosset, NY 11791-2310 | 2011-03-27 |
| 1780820266 | Ellen Waldman | Psychologist | 20 Hilltop Dr, Syosset, NY 11791-2001 | 2009-01-05 |
| 1841400538 | Jay Evan Saul | Psychologist | 6800 Jericho Tpke Ste 120w, Syosset, NY 11791-4445 | 2007-05-23 |
| 1417078163 | Marla Bayles | Psychologist | 22 Melanie Ln, Syosset, NY 11791-5830 | 2007-04-02 |
| 1023156239 | Alvin Trachtman | Psychologist | 321 Southwood Circle, Syosset, NY 11791-5715 | 2007-02-01 |
| 1639242662 | Roxane Polak | Psychologist | 32 Shamrock Ct, Syosset, NY 11791-2417 | 2006-11-16 |
| 1275605628 | Keith Denton | Psychologist | 48 Melanie Ln, Syosset, NY 11791-5118 | 2006-11-14 |
| 1184794083 | Barry Helprin | Psychologist | 6800 Jericho Turnpike, Suite 120w, Syosset, NY 11791 | 2006-11-08 |
| Find all providers in SYOSSET | ||||
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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.