Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MIKAELA MARIE KELLOGG PMHNP
NPI 1639002322
Nurse Practitioner - Psychiatric/Mental Health in Troy, NY

Active since June 04, 2026
2215 BURDETT AVE, TROY, NY 12180(518) 833-6470 Get Directions Write a Review

NPPES record added: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 4, 2026, Jun 4, 2026 (2 updates tracked since 2026).

About Mikaela Marie Kellogg Pmhnp NPPES

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

MIKAELA MARIE KELLOGG PMHNP (NPI 1639002322) is an individual psychiatric/mental health provider in Troy, New York, licensed in New York (408975) and active in the NPI registry since June 2026. She maintains a secondary practice location in Albany.

NPPES Registry Identity

NPI1639002322
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMIKAELA MARIE KELLOGGCredential: PMHNP
Location Address2215 BURDETT AVETroy, NY 12180-2466
Mailing AddressPo Box 14890Albany, NY 12212-4890
Sole ProprietorNo
Enumeration DateJune 4, 2026
Last NPPES UpdateAugust 4, 20262 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
NPI 1639002322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NY · 408975
2215 BURDETT AVE, Troy, NY 12180

Secondary Practice Location 1

Location 1315 S Manning Blvd Ste 6408AAlbany, NY 12208-1707 · Phone (518) 525-1301

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.

Dietitian, Registered
2215 BURDETT AVE, SAMARITAN HOSPITAL - NUTRITION SERVICES
TROY, NY 12180
Internal Medicine
2215 BURDETT AVE
TROY, NY 12180
Physician Assistant
2215 BURDETT AVE
TROY, NY 12180
Nurse Practitioner (Psychiatric/Mental Health)
2215 BURDETT AVE
TROY, NY 12180
Physician Assistant
2215 BURDETT AVE
TROY, NY 12180
Psychologist
2215 BURDETT AVE, BEHAVIORAL HEALTH DEPT
TROY, NY 12180
General Acute Care Hospital
2215 BURDETT AVE, SUITE 200
TROY, NY 12180
Social Worker (Clinical)
2215 BURDETT AVE
TROY, NY 12180

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 Mikaela Kellogg's NPI number?

The NPI number for Mikaela Kellogg is 1639002322. It was assigned to this individual provider in the NPPES registry on June 4, 2026.

Where is Mikaela Kellogg located?

Mikaela Kellogg practices at 2215 Burdett Ave, Troy, NY 12180. The listed phone number is (518) 833-6470.

What is Mikaela Kellogg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Mikaela Kellogg was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.