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

Samuel David Kellar

Individual provider School Psychologist · NPI 1730983891

Samuel David Kellar is a School Psychologist in Santa Rosa, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

1210 E Bellevue Ave
Santa Rosa, CA 95407-2764
Phone: (707) 542-3671
Show map & directions

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

Additional practice locations (1)

  • 2121 Moraga Dr, Santa Rosa, CA 95404-6114 — (707) 545-4283

Specialties & licences

School Psychologist (primary) Taxonomy 103TS0200X · Licence 230146968 (CA)

Record details

NPI number1730983891
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 1, 2025
Last updated in NPPESApril 1, 2025
Certification dateApril 1, 2025

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