JUDITH A KELLENBERGER
NPI 1619937414
Psychologist in Joplin, MO

Active since March 24, 2006PECOS Enrolled
1230 N DUQUESNE RD, JOPLIN, MO 64801(417) 782-1443 Get Directions Write a Review

NPPES record last updated: July 15, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Judith A Kellenberger NPPES

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

JUDITH A KELLENBERGER (NPI 1619937414) is an individual psychologist in Joplin, Missouri, licensed in Missouri (01618) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619937414
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJUDITH A KELLENBERGER
Location Address1230 N DUQUESNE RDJoplin, MO 64801-1509
Mailing Address3555 Alpaca RdJoplin, MO 64804-8735 · (417) 781-9160
Sole ProprietorYes
Enumeration DateMarch 24, 2006
Last NPPES UpdateJuly 15, 2014
NPI 1619937414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MO · 01618
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1230 N DUQUESNE RD, Joplin, MO 64801

Other Names 1

Former Name (1)Judith A Garrity M.s.

Other Identifiers 1

Medicaid496912734MO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Judith A Kellenberger is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Counselor (Professional)
1230 N DUQUESNE RD
JOPLIN, MO 64801
Clinic/Center
1230 N DUQUESNE RD
JOPLIN, MO 64801
Counselor (Professional)
1230 N DUQUESNE RD
JOPLIN, MO 64801
Psychologist
1230 N DUQUESNE RD
JOPLIN, MO 64801
Social Worker (Clinical)
1230 N DUQUESNE RD
JOPLIN, MO 64801
Social Worker (Clinical)
1230 N DUQUESNE RD
JOPLIN, MO 64801
Social Worker (Clinical)
1230 N DUQUESNE RD
JOPLIN, MO 64801
Counselor (Professional)
1230 N DUQUESNE RD
JOPLIN, MO 64801

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 Judith Kellenberger's NPI number?

The NPI number for Judith Kellenberger is 1619937414. It was assigned to this individual provider in the NPPES registry on March 24, 2006. The provider is also known as Judith A Garrity M.S..

Where is Judith Kellenberger located?

Judith Kellenberger practices at 1230 N Duquesne Rd, Joplin, MO 64801. The listed phone number is (417) 782-1443.

What is Judith Kellenberger's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Judith Kellenberger enrolled in Medicare?

Yes. Judith Kellenberger is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Judith Kellenberger was last updated on July 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.