ALFRED GEORGE KELLAM PHD
NPI 1760547954
Psychologist - Clinical in Ann Arbor, MI

Q: What is Alfred Kellam's NPI number?

The NPI number for Alfred Kellam is 1760547954. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Q: What is Alfred Kellam's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Alfred Kellam was last updated on February 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since December 27, 2006PECOS Enrolled

202 E WASHINGTON ST, SUITE 510, ANN ARBOR, MI 48104(734) 996-1944 Get Directions Write a Review

NPPES record last updated: February 9, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Alfred George Kellam Phd NPPES

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

ALFRED GEORGE KELLAM PHD (NPI 1760547954) is an individual clinical provider in Ann Arbor, Michigan, licensed in Michigan (6301006080) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760547954

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameALFRED GEORGE KELLAMCredential: PHD

Location Address202 E WASHINGTON ST, SUITE 510Ann Arbor, MI 48104-2017

Mailing Address202 E Washington St, Suite 510Ann Arbor, MI 48104-2017 · (734) 996-1944

Phone(734) 996-1944

Sole ProprietorYes

Enumeration DateDecember 27, 2006

Last NPPES UpdateFebruary 9, 2012

✔ NPI 1760547954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MI · 6301006080

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

202 E WASHINGTON ST, Ann Arbor, MI 48104

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Other Identifiers 1

Other6301006080MI · License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alfred George Kellam Phd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$177.36 typical visit price

range $58.04 – $177.36

Typical copayment $44.34 (range $14.51 – $44.34)

Most-billed visit code 99205

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

PROF. JANE ANNE HASSINGER MSW, PSYCHOANALYST

Social Worker (Clinical)

202 E WASHINGTON ST, STE. 608
ANN ARBOR, MI 48104

Washtenaw County (734) 761-1015

REBECCA HATTON, PSYD, LICENSED PSYCHOLOGIST

Clinic/Center (Adult Mental Health)

202 E WASHINGTON ST, SUITE 400B
ANN ARBOR, MI 48104

Washtenaw County (734) 709-2183

HSIAO-WEN LO PH.D.

Psychologist (Counseling)

202 E WASHINGTON ST, SUITE 400
ANN ARBOR, MI 48104

Washtenaw County (734) 222-6250

DR. AUDREY M. HERING PH.D.

Psychologist (Clinical)

202 E WASHINGTON ST, SUITE 401
ANN ARBOR, MI 48104

Washtenaw County (734) 645-5163

ANN ARBOR DBT CENTER PLLC

Community/Behavioral Health

202 E WASHINGTON ST, #500
ANN ARBOR, MI 48104

Washtenaw County (734) 680-6425

SOPHIE GROSS

Social Worker

202 E WASHINGTON ST
ANN ARBOR, MI 48104

Washtenaw County (734) 201-5832

JENNIFER VOTTA D.O.

Psychiatry & Neurology (Psychiatry)

202 E WASHINGTON ST
ANN ARBOR, MI 48104

Washtenaw County (734) 328-2492

CARRYN LUND LMSW

Social Worker (Clinical)

202 E WASHINGTON ST, SUITE 408
ANN ARBOR, MI 48104

Washtenaw County (507) 421-5235

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 Alfred Kellam's NPI number?

The NPI number for Alfred Kellam is 1760547954. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Where is Alfred Kellam located?

Alfred Kellam practices at 202 E Washington St Suite 510, Ann Arbor, MI 48104. The listed phone number is (734) 996-1944.

What is Alfred Kellam's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Alfred Kellam enrolled in Medicare?

Yes. Alfred Kellam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alfred Kellam was last updated on February 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.