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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
44743 | MN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 250493600 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255625869 | Thomas Steve Kefalas IIi | Physician Assistant | 1710 Kernersville Medical Pkwy Ste 116, Kernersville, NC 27284 | 2011-06-01 |
Street Address |
215 SE 2ND AVE |
City | GRAND RAPIDS |
State | MN |
Zip Code | 55744-3615 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 55744 |
Taxonomy Code | 2084P0800X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Psychiatry |
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] |
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 |
Find all providers in GRAND RAPIDS |
City | GRAND RAPIDS |
Zip Code | 55744 |
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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.