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JOHN DAVIS MCKELLAR PH.D.
NPI 1184893778
Psychologist - Addiction (Substance Use Disorder) in Los Gatos, CA

Active since February 27, 2008PECOS EnrolledAccepts Medicare Assignment
15047 LOS GATOS BLVD, SUITE 200, LOS GATOS, CA 95032(408) 364-6799(408) 378-4510 Get Directions Write a Review

NPPES record last updated: July 11, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John Davis Mckellar Ph.d. NPPES

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

JOHN DAVIS MCKELLAR PH.D. (NPI 1184893778) is an individual addiction (substance use disorder) provider in Los Gatos, California, licensed in California (18966) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS and is a graduate of University Of South Florida College Of Medicine (2001).

NPPES Registry Identity

NPI1184893778
Entity TypeIndividualMale
Primary Taxonomy103TA0400X
Provider Legal NameJOHN DAVIS MCKELLARCredential: PH.D.
Location Address15047 LOS GATOS BLVD, SUITE 200Los Gatos, CA 95032-2054
Mailing Address15047 Los Gatos Blvd, Suite 200Los Gatos, CA 95032-2054 · (408) 364-6799 · Fax (408) 378-4510
Phone(408) 364-6799
Fax(408) 378-4510
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2001
Enumeration DateFebruary 27, 2008
Last NPPES UpdateJuly 11, 2014
✔ NPI 1184893778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code103TA0400X
License✔ Licensed in CA · 18966
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
15047 LOS GATOS BLVD, Los Gatos, CA 95032
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Other Identifiers 1

Medicare PINCA122627CA

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

John Davis Mckellar Ph.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 ID547484248
PECOS Enrollment IDI20140707002080
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 20

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

MR. LAWRENCE ZALE YEE M.P.T.
Physical Therapist (Orthopedic)
15047 LOS GATOS BLVD, SUITE 180
LOS GATOS, CA 95032
Santa Clara County (408) 358-6505
MS. ALYSSA GOMEZ FNP
Nurse Practitioner (Family)
15047 LOS GATOS BLVD, #200
LOS GATOS, CA 95032
Santa Clara County (408) 364-6799
LINDA HONEY JOSHUA NP,RN
Obstetrics & Gynecology
15047 LOS GATOS BLVD, 200
LOS GATOS, CA 95032
Santa Clara County (408) 364-6799
JOAN OLOFF D P M INC
Podiatrist
15047 LOS GATOS BLVD, SUITE 100
LOS GATOS, CA 95032
Santa Clara County (408) 356-2774
ALINA BOGDANOVICH FNP-BC
Nurse Practitioner
15047 LOS GATOS BLVD
LOS GATOS, CA 95032
Santa Clara County (408) 364-6799
FARDAD BAROUMAND MD
Physical Medicine & Rehabilitation (Pain Medicine)
15047 LOS GATOS BLVD, STE.200
LOS GATOS, CA 95032
Santa Clara County (408) 364-6799
MR. ROBERT IRWIN NABER P.T., O.C.S., A.T.C.
Physical Therapist (Orthopedic)
15047 LOS GATOS BLVD, SUITE 180
LOS GATOS, CA 95032
Santa Clara County (408) 358-6505
HUONG MAI HO-TRAN DPT
Specialist
15047 LOS GATOS BLVD, STE 200
LOS GATOS, CA 95032
Santa Clara County (408) 364-6799

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 John Mckellar's NPI number?

The NPI number for John Mckellar is 1184893778. It was assigned to this individual provider in the NPPES registry on February 27, 2008.

Where is John Mckellar located?

John Mckellar practices at 15047 Los Gatos Blvd Suite 200, Los Gatos, CA 95032. The listed phone number is (408) 364-6799.

What is John Mckellar's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

Is John Mckellar enrolled in Medicare?

Yes. John Mckellar 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 John Mckellar accept?

Health plans from Providence Health Plan list John Mckellar 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 John Mckellar was last updated on July 11, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.