Kirsten Elizabeth Tollefson, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MT195768 Issued in PA

Practice address

4641 Roosevelt Blvd
Friends' Hospital,Ducom Adult Psychiatry Residency Offc
Philadelphia, PA 19124-2343

Phone

(267) 507-6581

NPI assigned

Jul 31, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1312070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312070400000",
    "number": "1932487550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4641 ROOSEVELT BLVD",
            "address_2": "FRIENDS' HOSPITAL,DUCOM ADULT PSYCHIATRY RESIDENCY OFFC",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4641 ROOSEVELT BLVD",
            "address_2": "FRIENDS' HOSPITAL,DUCOM ADULT PSYCHIATRY RESIDENCY OFFC",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242343",
            "telephone_number": "267-507-6581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLEFSON",
        "first_name": "KIRSTEN",
        "middle_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-31",
        "last_updated": "2011-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MT195768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyn Olivia Toles, MD
• Anastasia Tolis, RPH
• Christina Tolis, PHARMD
• Candy Theresa Toliver, OWNER
• Marvin Toliver
• Charles Tolliferreo Jr.
• Emily Grace Tolnay, BA
• Tatianna Rose Tolosa
• Vera Tolova, M.D.
• Michael Tolstoy, CRNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2011; 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.