Organization Active NPI

David Kalkstein, MD PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bala Cynwyd, PA
National Provider Identifier
1881671725
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
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 30, 2005
Last updated
Feb 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Authorized official

Name
Karen Quinn
Title
Practice Manager
Phone
(302) 478-7981

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU
Clinical Social Worker 1041C0700X NU
Psychiatry Physician 2084P0800X NU
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X MD023723E PA Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X C1-0005516 DE
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU

Addresses

Primary practice location

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

Mailing address

555 E City Ave
Ste 210
Bala Cynwyd, PA 19004-1115
Phone (610) 660-8338

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1881671725",
    "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": "2005-12-30",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "302-478-7981"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "MD023723E",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "DE",
            "license": "C1-0005516",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.