Thomas P Kittelsen, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

CDRH.0047433 Issued in CO

Practice address

7680 Goddard St Ste 120
Colorado Springs, CO 80920-8233

Phone

(719) 306-4543

Fax

(833) 953-0009

NPI assigned

Feb 23, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vo of Arizona, Inc.

  • Clinical Medical Laboratory
  • Glendale, AZ
  • NPI 1447458682
  NPD (past)
• Vo of Arizona, Inc.

  • Case Management Agency
  • Phoenix, AZ
  • NPI 1730139593
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1184750408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4791 AMAROSA HTS APT 204",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207929",
            "telephone_number": "719-306-4543",
            "fax_number": "833-953-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7680 GODDARD ST STE 120",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809208233",
            "telephone_number": "719-306-4543",
            "fax_number": "833-953-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTELSEN",
        "first_name": "THOMAS",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "8734",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "CDRH.0047433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKenzie Kist, MHS, CCC-SLP
• Anna-Marie Victoria Kistler
• Brett Kitazono
• Cheryl Kitchen, COTA
• Lauren Simone Kitrell
• Deeann Marie Kittrell, LPC
• Kiya Transport LLC
• Karen Kjorness
• Julie M. Klaker, FNP-C, PMHNP-BC
• Peter Michael Klara, M.D., PH.D.

• Psychiatry Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Psychiatry Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.