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DR. JEFFREY SAUNDERS KELLOGG PSY.D
NPI 1093740862
Psychologist - Clinical Child & Adolescent in Carbondale, IL

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
3412 S ILLINOIS AVE, CARBONDALE, IL 62903(618) 457-4488(618) 457-8844 Get Directions Write a Review

NPPES record last updated: March 25, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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.

Other Providers at the Same Location NPPES 8

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

DR. MATTHEW ERIC DENIS PH.D.
Psychologist (Clinical)
3412 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 457-4488
JODIE KENNEDY L.C.S.W.
Social Worker (Clinical)
3412 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 327-1304
DONALD ALLEN DOTY PH.D.
Psychologist (Clinical)
3412 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 457-4488
NICOLE DOUGLAS PSYCHOLOGY AND WELLNESS, PLLC
Psychologist (Clinical)
3412 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 506-0107
DR. KARLA K. FEHR PH.D.
Psychologist (Clinical Child & Adolescent)
3412 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 457-4488
DR. PAUL MICHAEL SHAWLER PH.D.
Psychologist (Clinical Child & Adolescent)
3412 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 539-2155
SUSAN M RAMIREZ PH.D.
Psychologist (Clinical)
3412 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 305-0988
SHAWLER PSYCHOLOGY, PLLC
Clinic/Center (Adolescent and Children Mental Health)
3412 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 539-2155

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 Jeffrey Kellogg's NPI number?

The NPI number for Jeffrey Kellogg is 1093740862. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Jeffrey Kellogg located?

Jeffrey Kellogg practices at 3412 S Illinois Ave, Carbondale, IL 62903. The listed phone number is (618) 457-4488.

What is Jeffrey Kellogg's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Jeffrey Kellogg enrolled in Medicare?

Yes. Jeffrey Kellogg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jeffrey Kellogg accept?

Health plans from Providence Health Plan list Jeffrey Kellogg 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 Jeffrey Kellogg was last updated on March 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.