Healthcare Provider Details

I. General information

NPI: 1093641565
Provider Name (Legal Business Name): ROBIN J. KAUFFMAN, PSY.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 S UNIVERSITY DR STE 205
DAVIE FL
33328-3837
US

IV. Provider business mailing address

4801 S UNIVERSITY DR STE 205
DAVIE FL
33328-3837
US

V. Phone/Fax

Practice location:
  • Phone: 954-253-7863
  • Fax:
Mailing address:
  • Phone: 954-253-7863
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBIN JILL KAUFFMAN
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PSY.D.
Phone: 954-253-7863