Kristen Dopf, PA-C

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MA060633 Issued in PA

Practice address

107 Chesley Dr Ste 4
Media, PA 19063-1760

Phone

(610) 891-9024

NPI assigned

Jan 27, 2014

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Sequoia Behavioral Healthcare LLC

  • Psychiatry Physician
  • Media, PA
  • NPI 1396776969
  NPD (past)
• Outpatient Procedure Centers, LLC

  • Ambulatory Surgical Clinic/Center
  • Wilmington, DE
  • NPI 1063854628
  NPD (past)

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1255754347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 HIGH RIDGE RD",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179157",
            "telephone_number": "302-598-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CHESLEY DR STE 4",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631760",
            "telephone_number": "610-891-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOPF",
        "first_name": "KRISTEN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-27",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0000926",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MA060633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole McKenzie Donaberger, C.D.T.A.
• James Patrick Donaghy, DMD
• Allyson Donnelly, RBT
• Erin Donovan
• Heike Miriam Doody, RN
• Elina Dorfman-Levy, O.D
• Cassandra Doria
• Bernadette Dougherty, PSYD
• Kaitlyn Dougherty, M.S., LBS
• Marc N Dougherty, PHARMD

• Psychiatry Physician in Media, PA
• Providers in Media, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.