Kenneth George Terkelsen, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

160365 Issued in MA

Practice address

107 Commercial St
Mashpee, MA 02649-6507

Phone

(508) 477-7090

Fax

(508) 477-7028

NPI assigned

May 23, 2005

Last updated

Jun 5, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Locations

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

• Community Health Center of Cape Cod, Inc.

  • Community Health Clinic/Center
  • Mashpee, MA
  • NPI 1821193145
  Medicare reassignment NPD
• Community Health Center of Cape Cod Inc

  • Emergency Care Clinic/Center
  • North Falmouth, MA
  • NPI 1194485771
  NPD
• Cape Cod Healthcare Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hyannis, MA
  • NPI 1245286152
  NPD (past)
• Mashpee Mental Health Center, Inc.

  dba Orleans Mental Health Center

  • Community/Behavioral Health Agency
  • Mashpee, MA
  • NPI 1790844843
  NPD (past)

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370390400000",
    "number": "1336142504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 CAIRN RIDGE RD",
            "city": "EAST FALMOUTH",
            "state": "MA",
            "postal_code": "025367928",
            "telephone_number": "508-737-6208",
            "fax_number": "815-366-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 COMMERCIAL ST",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026496507",
            "telephone_number": "508-477-7090",
            "fax_number": "508-477-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERKELSEN",
        "first_name": "KENNETH",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2013-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "160365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2113121",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Faye Tamash
• Penelope Harding Tamulionis, LSW
• Lisa M. Taylor, M.D.
• Dawn Teixeira-Badger, RN
• Arthur S Tenenbaum, M.D.
• Terrill Therapy Inc
• Kevin Terrill
• The Stop & Shop Supermarket Company, LLC (Stop and Shop Pharmacy #87)
• Theodore a Calianos II MD PC
• Katherine Thomas, MS

• Psychiatry Physician in Mashpee, MA
• Providers in Mashpee, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.