Active NPIIndividual provider

Ilissa Kaufman, MA

Psychologist in Pelham, New York

NPI Number1912707175
Practice location
629 Fifth Ave, Pelham, NY 10803-1251
Fax
—
Last updated
January 7, 2026

Ilissa Kaufman is a Psychologist based in Pelham, NY. Ilissa Kaufman practices in Pelham, NY and has the professional credentials of MA. The NPI Number for Ilissa Kaufman is 1912707175. The current practice location address for Ilissa Kaufman is 629 Fifth Ave, Pelham, NY 10803-1251 and can be reached out via phone at 914-368-2995.

Provider Profile Details

NPI Number
1912707175
Provider Name
Ilissa Kaufman
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
629 Fifth Ave, Pelham, NY 10803-1251
Phone Number
914-368-2995
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
No
Provider Enumeration Date
March 17, 2025
Last Update Date
January 7, 2026
Certification Date
January 7, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
629 Fifth Ave
Pelham, NY 10803-1251
City
Pelham
Zip
10803-1251
Phone Number
914-368-2995
Pelham, NY 10803Get directions →

Provider Business Mailing Address Details

Address
629 Fifth Ave Ste 109
Pelham, NY 10803-3708
City
Pelham
State
NY
Zip
10803-3708
Phone Number
732-947-0896

License Information

Taxonomy
Psychologist · 103T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ilissa Kaufman, MA?

The NPI number of Ilissa Kaufman, MA is 1912707175. It was assigned on March 17, 2025 and is currently active in the NPPES registry.

What is the specialty of Ilissa Kaufman, MA?

Ilissa Kaufman, MA is registered under the primary taxonomy Psychologist (code 103T00000X).

Where does Ilissa Kaufman, MA practice?

The practice location is 629 Fifth Ave, Pelham, NY 10803-1251. The office can be reached at 914-368-2995 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912707175 directly on the NPPES registry website.

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