Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jeffrey Saunders Kellogg, PSYD

Individual provider Clinical Psychologist · NPI 1093740862

Dr. Jeffrey Saunders Kellogg, PSYD is a Clinical Psychologist in Carbondale, Illinois. Qualified in 1982, 44 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
44
Licensed in
IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

See every abbreviation used in this directory →

Practice location Address checks out

3412 S Illinois Ave
Carbondale, IL 62903-8362
Phone: (618) 457-4488
Fax: (618) 457-8844
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence 071003739 (IL)
Clinical Psychologist Taxonomy 103TC0700X · Licence 071003739 (IL)

Record details

NPI number1093740862
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedJuly 11, 2006
Last updated in NPPESMarch 25, 2015
Mailing address3412 S Illinois Ave, Carbondale, IL 62903-8362

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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