PROGENY PSYCHIATRIC CLINIC A MEDICAL CORPORATION
NPI 1548735202
Psychiatry & Neurology - Psychiatry in Irvine, CA

Q: What is Progeny Psychiatric Clinic A Medical Corporation's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since October 09, 2018

17782 COWAN STE A, IRVINE, CA 92614(949) 722-7118(949) 396-0965 Get Directions Write a Review

NPPES record last updated: August 8, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 8, 2019, Dec 28, 2018, Oct 9, 2018 (3 updates tracked since 2018).

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About Progeny Psychiatric Clinic A Medical Corporation NPPES

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

PROGENY PSYCHIATRIC CLINIC A MEDICAL CORPORATION (NPI 1548735202) is a healthcare organization registered as a psychiatry in Irvine, California and active in the NPI registry since October 2018. The organization lists Jason P Kellogg, Ceo, as its authorized official.

NPPES Registry Identity

NPI1548735202

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NamePROGENY PSYCHIATRIC CLINIC A MEDICAL CORPORATION

Location Address17782 COWAN STE AIrvine, CA 92614-6041

Mailing Address17782 Cowan Ste AIrvine, CA 92614-6041 · (949) 722-7118 · Fax (949) 396-0965

Phone(949) 722-7118

Fax(949) 396-0965

Organization SubpartNo

Authorized OfficialJason P KelloggCeo · (949) 722-7118

Enumeration DateOctober 9, 2018

Last NPPES UpdateAugust 8, 20193 updates tracked since enumeration

✔ NPI 1548735202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X

17782 COWAN STE A, Irvine, CA 92614

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Progeny Psychiatric Clinic A Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 39 clinicians reassign Medicare billing to Progeny Psychiatric Clinic A Medical Corporation, which bills Medicare for the services they deliver. Of these, 17 practice at this address and 25 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Nurse Practitioner30

Psychiatry4

Clinical Social Worker3

Marriage and Family Therapist2

Nearest to this location (20)

See all 39

Maria Acevedo, PMHNP

Nurse Practitioner

NPI 1992363535

17782 COWAN STE A
Irvine, CA 92614

(949) 722-7118