David Kalkstein MD PC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

MD023723E Issued in PA

Legal business name

DAVID KALKSTEIN MD PC

Practice address

555 E City Ave
Ste 210
Bala Cynwyd, PA 19004-1115

Phone

(610) 660-8338

Fax

(610) 660-8339

NPI assigned

Dec 22, 2009

Last updated

Dec 22, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Kalkstein, MDNPI 1215923255

Title

President

Phone

(302) 478-7981

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Kalkstein, MD, PHD

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1215923255

  DE

  Medicare reassignment Authorized official
• Jaimie L Stafford-Donaway, APRN, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Dover, DE
  • NPI 1952679540
  Medicare reassignment
• Kimberly E Gerardi

  • Psychiatric/Mental Health Nurse Practitioner
  • Georgetown, DE
  • NPI 1215967278
  NPD (past)
• Alma Surratt, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Millsboro, DE
  • NPI 1619109725
  NPD (past)

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1861721854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E CITY AVE",
            "address_2": "STE 210",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041115",
            "telephone_number": "610-660-8338",
            "fax_number": "610-660-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E CITY AVE",
            "address_2": "STE 210",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041115",
            "telephone_number": "610-660-8338",
            "fax_number": "610-660-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID KALKSTEIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-22",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "KALKSTEIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-478-7981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "MD023723E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A Dale, MD
• Adrian Dana, M.D.
• Dena Dandridge, LCSW
• David Elbaum, DO, LLC
• David J Nyer LCSW PC
• David Kalkstein, MD PC
• David N. Goldberg, DO Facoog PC
• David Steinman MD PC
• Tiffany Helen Daye-Lee, DNP, MSN, CRNP PMHNP
• Tyler Daymon, PT, ATC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.