Provider Demographics
NPI:1205859337
Name:KAUFMAN, RICHARD MICHAEL (LMHC)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:MICHAEL
Last Name:KAUFMAN
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:25 AUDREY LN
Mailing Address - Street 2:
Mailing Address - City:CENTEREACH
Mailing Address - State:NY
Mailing Address - Zip Code:11720-3846
Mailing Address - Country:US
Mailing Address - Phone:516-241-6728
Mailing Address - Fax:631-828-8710
Practice Address - Street 1:35 CROOKED HILL RD STE 101D
Practice Address - Street 2:
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-5411
Practice Address - Country:US
Practice Address - Phone:631-905-7956
Practice Address - Fax:631-828-8710
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001997101YM0800X
NY001997-01101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health