SHELLEY S KAUFMAN (NPI# 1740248376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740248376 |
| Entity Type | Individual |
| Full Name | SHELLEY S KAUFMAN |
| Credential | PHD |
| Practice Address |
17505 N 79th Ave Suite 315 Glendale AZ 85308-8725 |
| Mailing Address |
Po Box 10863 Glendale AZ 85318-0863 |
| Practice Telephone | 6022570560 |
| Mailing Telephone | 6022570560 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2015-12-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 1389 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | PTAN | ZPHD1389 | 01 |
| Street Address |
17505 N 79TH AVE SUITE 315 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-8725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417430778 | Daniela Rothenberg | Counselor | 17505 N 79th Ave, Glendale, AZ 85308-8725 | 2018-09-12 |
| 1548768914 | Elizabeth Williams | Counselor | 17505 N 79th Ave, 311-g, Glendale, AZ 85308-8725 | 2018-01-31 |
| 1700384070 | Michele Wiest | Social Worker | 17505 N 79th Ave, Glendale, AZ 85308-8725 | 2018-01-31 |
| 1518493303 | Deborah E Beebe | Dietitian, Registered | 17505 N 79th Ave, Suite 407, Glendale, AZ 85308 | 2017-05-11 |
| 1972044436 | Integrative Healing Counseling Service, Pllc | Social Worker | 17505 N 79th Ave, Suite 311f, Glendale, AZ 85308-8725 | 2017-03-17 |
| 1609317791 | Az Balanced Living Solutions, LLC | Counselor | 17505 N 79th Ave, Suite 305-c, Glendale, AZ 85308-8725 | 2017-03-09 |
| 1841730041 | Wendy Ann Whitsett | Counselor | 17505 N 79th Ave, Suite 305-c, Glendale, AZ 85308-8725 | 2017-03-07 |
| 1073055414 | Amanda Anderson, Mms, Pa-c, Pllc | Psychiatry & Neurology | 17505 N 79th Ave, Suite 206, Glendale, AZ 85308-8725 | 2016-11-16 |
| 1164973285 | Sherri Mankofsky | Dietitian, Registered | 17505 N 79th Ave, Suite 407, Glendale, AZ 85308-8725 | 2016-10-24 |
| 1619428356 | Surge Points LLC | Counselor | 17505 N 79th Ave, Ste 410, Glendale, AZ 85308-8725 | 2016-10-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
| 1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
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| 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 |
|---|---|---|---|---|
| 1497226864 | Austin Mccall | Psychologist | 4425 W Olive Ave Ste 151, Glendale, AZ 85302-3855 | 2018-12-11 |
| 1730595646 | Patrick Lockwood | Psychologist | 130 N Brand Blvd Ste 202, Glendale, CA 91203-2617 | 2014-07-11 |
| 1154744415 | Anahid Assatourian | Psychologist | 3520 Stancrest Dr, Glendale, CA 91208-1322 | 2014-01-22 |
| 1013205822 | Nanako Negome-kapur | Psychologist | 17218 N 72nd Dr Ste 101, Glendale, AZ 85308 | 2011-07-13 |
| 1558591172 | Laura Marie Wendlandt | Psychologist | 5859 W Talavi Blvd Ste 180, Glendale, AZ 85306-1873 | 2009-07-16 |
| 1346499761 | Anna Faye Leshner | Psychologist | 1510 S Central Ave Ste 210, Glendale, CA 91204-2557 | 2008-09-10 |
| 1184816233 | Juanita Mae Richard | Psychologist | 15082 N 59th Ave Apt 157, Glendale, AZ 85306-5234 | 2007-08-13 |
| 1417163528 | Donna M.l. Heretick | Psychologist | 6451 W Prickly Pear Trl, Glendale, AZ 85310-1023 | 2007-05-15 |
| 1417077298 | Eva J. Hageman | Psychologist | 20012 N 35th Ave, Glendale, AZ 85308-2204 | 2007-03-29 |
| 1811016942 | Tina Alexandrian | Psychologist | 100 N Brand Blvd Ste 516, Glendale, CA 91203-2614 | 2007-03-28 |
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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.