Jacquelyn Kay Kellogg, MA, LLP
NPI 1861413668ActiveIndividual· Psychologist· Grandville, MI
Psychologist (MA, LLP) in Grandville, Michigan, trained at Central Michigan College of Medicine (class of 1988). Enrolled in Medicare as practitioner - psychologist billing independently.
Overview
| NPI | 1861413668 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA, LLP |
| Sole proprietor | No |
| NPI issued | Jul 21, 2006 |
| Last updated in NPPES | Apr 6, 2023 |
| Certified by provider | Apr 6, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Psychologist Billing Independently (MI) |
|---|
Education and affiliations
| Medical school | Central Michigan College of Medicine |
|---|---|
| Graduation year | 1988 |
| Medicare specialty | Clinical Psychologist |
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