DR. THOMAS KEFALAS


Address: 215 Se 2nd Ave, Grand Rapids, MN 55744-3615
Phone: 2183261274

DR. THOMAS KEFALAS (NPI# 1609842897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609842897
Entity Type Individual
Full Name DR. THOMAS KEFALAS
Credential M.D.
Practice Address 215 Se 2nd Ave
Grand Rapids
MN 55744-3615
Practice Telephone 2183261274
Practice Fax Number 2183269787
Mailing Telephone 2183261274
Enumeration Date 2006-02-27
Last Update Date 2009-02-22
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
44743 MN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MN 250493600 05

Other Providers THOMAS KEFALAS

NPI Name Taxonomy Address Enumeration
1255625869 Thomas Steve Kefalas IIi Physician Assistant 1710 Kernersville Medical Pkwy Ste 116, Kernersville, NC 27284 2011-06-01

Office Location

Street Address 215 SE 2ND AVE
City GRAND RAPIDS
State MN
Zip Code 55744-3615

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013473404 Kayla Marie Meyer Counselor 215 Se 2nd Ave, Grand Rapids, MN 55744-3615 2019-02-11
1316429145 Kirstiane N Bilyeu Social Worker 215 Se 2nd Ave, Grand Rapids, MN 55744-3615 2018-08-29
1538649223 Dannielle Chantel Chesness Nelson Nurse Practitioner 215 Se 2nd Ave, Grand Rapids, MN 55744-3615 2018-08-21
1518453554 Tabbatha Jo Litchke Counselor 215 Se 2nd Ave, Grand Rapids, MN 55744-3615 2018-07-02
1972098440 Brea Wallaker Social Worker 215 Se 2nd Ave, Grand Rapids, MN 55744-3615 2018-06-27
1164941316 Lauren Elizabeth Flood Marriage & Family Therapist 215 Se 2nd Ave, Grand Rapids, MN 55744-3615 2017-09-19
1700251006 Brian Navratil Marriage & Family Therapist 215 Se 2nd Ave, Grand Rapids, MN 55744-3615 2015-12-11
1578948428 Krista L Alaspa Nurse Practitioner 215 Se 2nd Ave, Grand Rapids, MN 55744-3615 2015-07-21
1891186482 Angela Christian Pellerito Nurse Practitioner 215 Se 2nd Ave, Grand Rapids, MN 55744-3615 2015-02-18
1265822324 John White Counselor 215 Se 2nd Ave, Grand Rapids, MN 55744-3615 2015-01-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710587696 Friesen & Friesen, Inc Assisted Living Facility 1971 Ne 1st Avenue, Grand Rapids, MN 55744 2020-10-29
1699392555 Duane Stanley Helmer Counselor First Call for Help of Itasca County, 1707 Nw 4th Street Suite B, Grand Rapids, MN 55744 2020-06-26
1821631391 Patrice Marie Curtiss Technician 23792 Winckler Road, Grand Rapids, MN 55744 2019-10-28
1578117438 Christina Marie Hubred Advanced Practice Dental Therapist Miskovich Dental Clinic, 1121 Se 4th Avenue, Grand Rapids, MN 55744 2019-07-30
1780081877 Fcsl Grand Rapids, LLC Assisted Living Facility 949 1/2 Sw 11th Street, Grand Rapids, MN 55744 2014-12-04
1912311333 Doctor V LLC Psychologist 2002 Cromell Drive, Hope House of Itasca County, Laprairie, MN 55744 2014-06-13
1104244987 Linda Reinen-thompson Contractor 34307 Hwy. 38, Grand Rapids, MN 55744 2014-03-31
1275883266 Lana Rae Jacobson Registered Nurse 1401 Nw 9th Street, Grand Rapids, MN 55744 2012-09-17
1518252048 David Allen Griggs Pharmacist 2140 S.pokegama Ave., T-0904, Target, Grand Rapids, MN 55744 2011-06-13
1447575063 Kelly Ann Shermoen Pharmacist 18 Se 10th Street, Grand Rapids, MN 55744 2010-04-07
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Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629507801 Laura Marie Quennoz Psychiatry & Neurology Pine Rest Christian Mental Health Services, 300 68th Street Se, Grand Rapids, MI 49548 2017-06-09
1124462437 Veritas Integrated Psychiatric Care, Pllc Psychiatry & Neurology 3265 Walker Ave Nw, Suite D, Grand Rapids, MI 49544-9708 2013-04-18
1982835526 Mon C Poulose Psychiatry & Neurology 3225 N Evergreen Drive Ne, Suite 301, Grand Rapids, MI 49525 2009-07-30
1972652972 Radosveta Stoyanov Psychiatry & Neurology 3225 N Evergreen Dr Ne, Grand Rapids, MI 49525-9334 2007-01-09
1679633994 Philip C. Haines Psychiatry & Neurology 1011 Parchment Dr Se, Grand Rapids, MI 49546-3664 2006-12-08
1669546537 Holly Ann Perkins Psychiatry & Neurology 2894 Thornapple River Dr Se, Grand Rapids, MI 49546-6857 2006-11-20
1801966122 Theodore Fitch Mauger Psychiatry & Neurology 1325 Thornapple River Dr Se, Grand Rapids, MI 49546-9736 2006-11-08
1154407807 Josharon Mutchler Psychiatry & Neurology 2035 28th St Se, Suite P, Grand Rapids, MI 49508 2006-10-27
1760581524 Elmer William Fowler Jr. Psychiatry & Neurology 3351 Claystone St Se, Suite 212, Grand Rapids, MI 49546-5781 2006-09-21
1578676797 Haith Place Inc Psychiatry & Neurology 2460 Burton St Se Ste 101, Grand Rapids, MI 49546-4806 2006-08-15
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Competitor

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City GRAND RAPIDS
Zip Code 55744

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Dataset Information

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.

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