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

Individual provider Psychologist · NPI 1861413668

Jacquelyn Kay Kellogg, MA, LLP is a Clinical Psychologist in Grandville, Michigan. Graduated from Central Michigan College of Medicine in 1988, 38 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
38
Trained at
Central Michigan College of Medicine
Licensed in
MA
In the registry since
2006
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

6018 Cornerstone Ct SW
Grandville, MI 49418-3314
Phone: (616) 340-1061
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4950 32nd Ave, Hudsonville, MI 49426-1729 — (616) 340-1061

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X (MA)

Record details

NPI number1861413668
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LLP
Sole proprietorNo
NPI enumeratedJuly 21, 2006
Last updated in NPPESApril 6, 2023
Certification dateApril 6, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolCENTRAL MICHIGAN COLLEGE OF MEDICINE
Graduated 1988 (38 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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