JACQUELYN KAY KELLOGG (MA, LLP) – Psychologist, NPI 1861413668
Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,216 CLINICAL PSYCHOLOGIST in MI
Provider Addresses for JACQUELYN KAY KELLOGG (MA, LLP)
4950 32nd Ave
Hudsonville, MI 494261729
Phone: (616) 340-1061
Type: Location
6018 CORNERSTONE CT
GRANDVILLE, MI 49418
Phone: (616) 340-1061
Type: Mailing
6018 CORNERSTONE CT SW
GRANDVILLE, MI 494183314
Phone: (616) 340-1061
Type: Location
5250, Northland Drive, Big Rapids, Big Rapids Township, Mecosta County, Michigan, 49307, United States
STE A
GRAND RAPIDS, MI 49525
Phone: (616) 361-5001
Fax: (616) 361-2166
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-03-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20260303000691 | I | Psychologist Billing Independently | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49426)
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