Individual provider Active NPI

Eve Kellner, D.O.

  • Psychiatry Physician
  • Kalamazoo, MI
National Provider Identifier
1306286067
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
5101024641 Issued in MI
Practice address
555 W Crosstown Pkwy Ste 402
Kalamazoo, MI 49008-1980
Phone
(269) 389-9502
Fax
(269) 360-4806
NPI assigned
Jun 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X E-12620 AR
Psychiatry Physician 2084P0800X 5101024641 MI Primary

Addresses

Primary practice location

555 W Crosstown Pkwy Ste 402
Kalamazoo, MI 49008-1980

Mailing address

555 W Crosstown Pkwy Ste 402
Kalamazoo, MI 49008-1980
Phone (269) 389-9502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151106001071 NY Practitioner - Psychiatry 7416267208 Reassigns benefits to 1 organization
I20210219000069 MI Practitioner - Psychiatry 7416267208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brainwise Psychotherapy PLLCGroup PAC ID 5294177622, 10 clinicians

Practice addresses (Care Compare)

555 W Crosstown Pkwy
Suite 401
Kalamazoo, MI 49008-1980
Phone (269) 389-9502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph'S Hospital Yonkers Current Accepting new patients
St. Joseph'S Hospital & Medical Center Psychiatry CurrentSince Jul 1, 2015 Accepting new patients
Brainwise Psychotherapy PLLC CurrentSince Sep 1, 2025 Accepting new patients
St Josephs Hospital Yonkers CurrentSince Jul 1, 2015 Accepting new patients
Professional Counseling Associates Inc. PastSince May 31, 2020 Accepting new patients
Imagine Medical Group, PA Neurology PastSince Apr 1, 2022 Accepting new patients
Janian Medical Care, P.C. Psychiatry PastSince Nov 9, 2024 Accepting new patients

Locations

555 W Crosstown Pkwy
Ste 401
Kalamazoo, MI 49008
Phone (269) 389-9502

275 North St
Harrison, NY 10528
Phone (914) 925-5211

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1306286067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W CROSSTOWN PKWY STE 402",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081980",
            "telephone_number": "269-389-9502",
            "fax_number": "269-360-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W CROSSTOWN PKWY STE 402",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081980",
            "telephone_number": "269-389-9502",
            "fax_number": "269-360-4806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLNER",
        "first_name": "EVE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E-12620",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "5101024641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.