Kellin K Mair, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0102206384 Issued in VA

Practice address

Brooke Army Medical Center
3551 Roger Brooke Dr
Jbsa Fort Sam Houston, TX 78234

Phone

(301) 319-8373

NPI assigned

Apr 15, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1396308540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BROOKE ARMY MEDICAL CENTER",
            "address_2": "3551 ROGER BROOKE DR",
            "city": "JBSA FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "78234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BROOKE ARMY MEDICAL CENTER",
            "address_2": "3551 ROGER BROOKE DR",
            "city": "JBSA FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "78234",
            "telephone_number": "301-319-8373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIR",
        "first_name": "KELLIN",
        "middle_name": "K",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-15",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0102206384",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Kristian Kocher, DSC, PA-C
• Jeanne Alexandra Krick, M.D.
• Andrew James Kuschnerait, M.D.
• Hana Kathleen Kwan, MD
• Cory Madigan, MD
• Robert Kevin Manning, PH.D, CCC-SLP
• James John Marsh VI, MD
• Carlos Risik Martinez Licha, MD
• Hunter William McCollum, MD
• Aaron Matthew McGuire

• Psychiatry Physician in Jbsa Fort Sam Houston, TX
• Providers in Jbsa Fort Sam Houston, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.