NPPES file of Aug 9, 2026

Jeffrey Saunders Kellogg, PSY.D

Clinical Child & Adolescent Psychologist · Carbondale, IL

Jeffrey Saunders Kellogg, PSY.D is a clinical child & adolescent psychologist with a practice address in Carbondale, Illinois, and NPI 1093740862, issued on Jul 11, 2006. Check the license (Illinois 071003739, as entered in NPPES) with the Illinois board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1093740862
Name
Jeffrey Saunders Kellogg
Credential
PSY.D
Primary taxonomy
Clinical Child & Adolescent Psychologist 103TC2200X
License number
071003739 IL
Self-reported in NPPES; status is on the state search
Practice location
3412 S Illinois Ave, Carbondale, IL 62903
Phone
(618) 457-4488
Enumerated
Jul 11, 2006
Record last updated
Mar 25, 2015 (not updated in 11 years: call before relying on the address or phone)
Fax
(618) 457-8844
Medicare enrollment
Enrolled (PECOS I20091105000555); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 3412 S Illinois Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Matthew Denis, PH.D.Clinical Psychologist1043223613
  2. Donald Doty, PH.D.Clinical Psychologist1235145426
  3. Karla Fehr, PH.D.Clinical Child & Adolescent Psychologist1255711438
  4. Jodie Kennedy, L.C.S.W.Clinical Social Worker1083930705
  5. Susan Ramirez, PH.D.Clinical Psychologist1588014633
  6. Paul Shawler, PH.D.Clinical Child & Adolescent Psychologist1417440173

Verify Jeffrey Saunders Kellogg in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Illinois board licenses this profession
    Search for license 071003739
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
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Jeffrey Saunders Kellogg among 143 clinical child & adolescent psychologist records in Illinois

Jeffrey Saunders Kellogg, PSY.D is one of 143 clinical child & adolescent psychologist records with a practice address in Illinois. 5% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2006, is newer than 0% of them.

  • NPI issued2006 · 0% of these records are older, 87% newer
  • In a Medicare fileNo · 5% of these records are
  • In the CMS Doctors and Clinicians fileYes · 10% of these records are
  • Graduated1982 · median 2003 among the 14 with a school on file
  • Record last updated2015 · 61% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC2200X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Clinical Child & Adolescent Psychologist providers in Illinois

There are 143 clinical child & adolescent psychologist records in Illinois. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 clinical child & adolescent psychologist records with the nearest ZIP codes

  1. Karla Fehr, PH.D.Carbondale, IL 629031255711438
  2. Paul Shawler, PH.D.Carbondale, IL 629031417440173
  3. Donald Buckman, PH DEldorado, IL 629301497982847
  4. Genni NewshamMarion, IL 629591811885262
  5. Kimberly Pollock, PH.D.Springfield, IL 627031790078483
  6. Allison Krutul, PSYDChampaign, IL 618221588971758
  7. Amber Hays, PH.D.Bloomington, IL 617011043177702
  8. Jessica McKinley-SimpsonBloomington, IL 617011275214108

Common questions

What is Jeffrey Saunders Kellogg, PSY.D's NPI number?

Jeffrey Saunders Kellogg, PSY.D's National Provider Identifier (NPI) is 1093740862, issued on Jul 11, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Jeffrey Saunders Kellogg, PSY.D located?

The NPPES record lists a practice address at 3412 S Illinois Ave, Carbondale, IL, 62903. Phone: (618) 457-4488. Providers update this record themselves, so call before visiting.

How can I verify Jeffrey Saunders Kellogg, PSY.D's license?

NPPES lists Illinois license number 071003739, as entered by the provider. Search the Illinois board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.