Dr. Mira Kaufman, PsyD
Psychologist, Clinical in Concord, MA. Individual provider (NPI-1).
NPI number1609586296
StatusActive
Last updated in NPPESJul 1, 2026
Details
- NPI
- 1609586296
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mira Kaufman
- Credential
- PsyD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 5, 2022
- Certification date
- Jul 1, 2026
- Last updated
- Jul 1, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSY10000365 | MA | Yes |
Practice location
747 Main St Ste 324Concord, MA 01742-3329
Phone 203-605-8193
Mailing address
747 Main St Ste 324Concord, MA 01742-3329
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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