Kelsey L.M. McClellan, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

E-8895 Issued in AR

Practice address

124 W Capitol Ave
Suite 1900
Little Rock, AR 72201-3704

Phone

(404) 888-6494

NPI assigned

May 6, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

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 1

Specialty

Psychiatry

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Real Development CorporationGroup PAC ID 1153751334, 9 clinicians

Bedrock PsychiatryGroup PAC ID 7315446861, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dallas County Medical Center Hospital, Fordyce, AR, CCN 041317

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Bedrock Psychiatry

  • Psychiatry Physician
  • Little Rock, AR
  • NPI 1013723048
  Medicare reassignment Care Compare group NPD Authorized official
• Real Development Corporation

  • Community/Behavioral Health Agency
  • Russellville, AR
  • NPI 1568943140
  Medicare reassignment Care Compare group NPD
• Arkansas Childrens Hospital

  • Pediatrics Physician
  • Little Rock, AR
  • NPI 1598773079
  Medicare reassignment NPD
• BHC Pinnacle Pointe Hospital LLC

  • Psychiatric Hospital
  • Little Rock, AR
  • NPI 1912962341
  Medicare reassignment NPD
• Chenal Family Therapy, PLC

  • Mental Health Counselor
  • Little Rock, AR
  • NPI 1356604219
  Medicare reassignment NPD
• Delta Counseling Associates Inc

  • Community/Behavioral Health Agency
  • Monticello, AR
  • NPI 1053364612
  Medicare reassignment NPD
• River Valley Youth Foundation

  • Community/Behavioral Health Agency
  • Russellville, AR
  • NPI 1770261869
  Medicare reassignment NPD
• University of Arkansas for Medical Sciences

  • Pediatrics Physician
  • Little Rock, AR
  • NPI 1346230968

  Child & Adolescent Psychiatry

  Medicare reassignment NPD
• University of Arkansas for Medical Sciences

  • Internal Medicine Physician
  • Little Rock, AR
  • NPI 1588654016
  Medicare reassignment NPD
• Arkansas Children'S Hospital

  • Children's Hospital
  • Little Rock, AR
  • NPI 1477561983
  NPD
• University of Arkansas for Medical Sciences

  • Family Medicine Physician
  • El Dorado, AR
  • NPI 1023795051
  NPD
• University of Arkansas for Medical Sciences

  • Developmental - Behavioral Pediatrics Physician
  • Lowell, AR
  • NPI 1407021280
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Board of Governors of Dallas County Medical Center

  • Critical Access Hospital
  • Fordyce, AR
  • NPI 1306826029
  Care Compare affiliation

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1457679011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 W CAPITOL AVE",
            "address_2": "SUITE 1900",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722013704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W CAPITOL AVE",
            "address_2": "SUITE 1900",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722013704",
            "telephone_number": "404-888-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAN",
        "first_name": "KELSEY",
        "middle_name": "L.M.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-06",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AR",
            "license": "E-8895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208976001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Rose McClanahan
• Michael McClanahan
• Dana McClaran, MHPP
• Steven Kent McClatchy
• Alexandra McClellan, QBHP
• Mya McClellan, RN
• Dana S McClendon, M.S.,R.D.,C.S.O.
• Suzanne Roberson McClendon, M.A, CCC-SLP
• McClure & Associates, LLC
• Katlyn Reine McClure, PA

• Child & Adolescent Psychiatry Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Child & Adolescent Psychiatry Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.