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JACQUELYN KELLOGG, LLC
NPI 1023714409
Psychologist - Clinical in Grandville, MI

Active since February 06, 2023
6018 CORNERSTONE CT SW, GRANDVILLE, MI 49418(616) 340-1061 Get Directions Write a Review

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacquelyn Kellogg, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELYN KELLOGG, LLC (NPI 1023714409) is a healthcare organization registered as a clinical in Grandville, Michigan and active in the NPI registry since February 2023. The organization maintains a secondary practice location in Hudsonville and lists Jacquelyn Kay Kellogg, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1023714409
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameJACQUELYN KELLOGG, LLC
Location Address6018 CORNERSTONE CT SWGrandville, MI 49418
Mailing Address6018 Cornerstone Ct SwGrandville, MI 49418 · (616) 340-1061
Phone(616) 340-1061
Organization SubpartNo
Authorized OfficialJacquelyn Kay KelloggPsychologist · (616) 340-1061
Enumeration DateFebruary 6, 2023
NPPES CertifiedFebruary 6, 2023
✔ NPI 1023714409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
6018 CORNERSTONE CT SW, Grandville, MI 49418
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Secondary Practice Location 1

Location 14950 32nd AveHudsonville, MI 49426-1729 · Phone (616) 340-1061

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACQUELYN KAY KELLOGG MA, LLP
Psychologist
6018 CORNERSTONE CT SW
GRANDVILLE, MI 49418
Kent County (616) 340-1061

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacquelyn Kellogg, LLC's NPI number?

The NPI number for Jacquelyn Kellogg, LLC is 1023714409. It was assigned to this organization in the NPPES registry on February 6, 2023.

Where is Jacquelyn Kellogg, LLC located?

Jacquelyn Kellogg, LLC is located at 6018 Cornerstone Ct SW, Grandville, MI 49418. The listed phone number is (616) 340-1061.

What is Jacquelyn Kellogg, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

What insurance does Jacquelyn Kellogg, LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Jacquelyn Kellogg, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacquelyn Kellogg, LLC was last updated on February 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.