Sfkelloggpsyd LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

02589 Issued in MD

Legal business name

SFKELLOGGPSYD LLC

Practice address

133 Defense Hwy
Suite 210
Annapolis, MD 21401-7098

Phone

(410) 266-6266

Fax

(410) 266-7663

NPI assigned

May 14, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Steven F Kellogg, PSYD

Title

Owner

Phone

(410) 266-6266

Specialties & licenses 1

Addresses

Other names 1

• Steven F Kellogg PsyD LLC Licensed Clinical Psychologist Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1215104674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 DEFENSE HWY",
            "address_2": "SUITE 210",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017098",
            "telephone_number": "410-266-6266",
            "fax_number": "410-266-7663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 DEFENSE HWY",
            "address_2": "SUITE 210",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017098",
            "telephone_number": "410-266-6266",
            "fax_number": "410-266-7663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SFKELLOGGPSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "KELLOGG",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-266-6266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "02589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Steven F Kellogg PsyD LLC Licensed Clinical Psychologist",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Neha Priyavadan Serrano, MD
• Andrew Michael Servinsky, O.D.
• Servitium Med MD, LLC
• Margaret Kathryn Seuss, CRNP
• Emily Marie Sewell, D.D.S.
• Paul Shabaz, M.D.
• Maureen Shackelford, RD CDE LD MA
• Elizabeth F Shade, MD
• Brenda Ellen Shaeffer, PT,DPT
• Paige Venanzi Shaffer, MS, CCC-SLP

• Clinical Psychologist in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.