DR. JEFFREY SAUNDERS KELLOGG PSY.D - NPI 1093740862

Q: What is the provider's specialty?

The provider's specialty is Psychologist with taxonomy code 103TC2200X and a focus in Clinical Child & Adolescent.

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About Dr. Jeffrey Saunders Kellogg Psy.d NPPES

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

DR. JEFFREY SAUNDERS KELLOGG PSY.D (NPI 1093740862) is an individual clinical child & adolescent provider in Carbondale, Illinois, licensed in Illinois (071003739) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1093740862

Entity TypeIndividualMale

Primary Taxonomy103TC2200X

Provider Legal NameDR. JEFFREY SAUNDERS KELLOGGCredential: PSY.D

Location Address3412 S ILLINOIS AVECarbondale, IL 62903-8362

Mailing Address3412 S Illinois AveCarbondale, IL 62903-8362 · (618) 457-4488 · Fax (618) 457-8844

Phone(618) 457-4488

Fax(618) 457-8844

Sole ProprietorYes

Medical School CMSOtherGraduated 1982

Enumeration DateJuly 11, 2006

Last NPPES UpdateMarch 25, 2015

✔ NPI 1093740862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in IL · 071003739

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 071003739 (IL)

3412 S ILLINOIS AVE, Carbondale, IL 62903

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jeffrey Saunders Kellogg Psy.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406994771

PECOS Enrollment IDI20091105000555

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.