JASON KELLOGG M.D. INC


Address: 17782 Cowan Ste A, Irvine, CA 92614-6041
Phone: 9499552101

JASON KELLOGG M.D. INC (NPI# 1235391624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235391624
Entity Type Organization
Organization Name JASON KELLOGG M.D. INC
Other Organization Name PROGENY PSYCHIATRIC GROUP
Practice Address 17782 Cowan Ste A
Irvine
CA 92614-6041
Mailing Address 17782 Cowan
Irvine
CA 92614
Practice Telephone 9499552101
Practice Fax Number 9493906519
Mailing Telephone 9497227118
Mailing Fax Number 9495799102
Enumeration Date 2008-06-27
Last Update Date 2017-06-23
Authorized Official Name DR. JASON P KELLOGG (OWNER)
Authorized Official Telephone 9499552101
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
Allopathic & Osteopathic Physicians
N 2084N0400X Psychiatry & Neurology
Specialization: Neurology
Allopathic & Osteopathic Physicians
N 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
Podiatric Medicine & Surgery Service Providers
N 335E00000X Prosthetic/Orthotic Supplier Suppliers
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Progeny Psychiatric Group Doing Business As Name - Organization

Office Location

Street Address 17782 COWAN STE A
City IRVINE
State CA
Zip Code 92614-6041

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740485101 Farhad Ghasemi Nikoo Registered Nurse 17782 Cowan Ste A, Irvine, CA 92614-6041 2007-06-18
1043825797 Robert Anthony Cadena Nurse Practitioner 17782 Cowan Ste A, Irvine, CA 92614-6041 2020-09-10
1790396794 Heidi Aguilar Nurse Practitioner 17782 Cowan Ste A, Irvine, CA 92614-6041 2020-08-12
1497380356 Helen Kim Nurse Practitioner 17782 Cowan Ste A, Irvine, CA 92614-6041 2020-03-10
1558995084 Neo Atienza Nurse Practitioner 17782 Cowan Ste A, Irvine, CA 92614-6041 2020-02-24
1972134641 Emily Louise Lippincott Nurse Practitioner 17782 Cowan Ste A, Irvine, CA 92614-6041 2020-01-30
1427692375 Jada Alston Nurse Practitioner 17782 Cowan Ste A, Irvine, CA 92614-6041 2019-11-04
1366098279 Nili Askari Marriage & Family Therapist 17782 Cowan Ste A, Irvine, CA 92614-6041 2019-08-15
1992363535 Maria D Acevedo Nurse Practitioner 17782 Cowan Ste A, Irvine, CA 92614-6041 2019-05-29
1548735202 Progeny Psychiatric Clinic A Medical Corporation Family Medicine 17782 Cowan Ste A, Irvine, CA 92614-6041 2018-10-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396352944 Irvine Surgical Center LLC Clinic/Center 17624 Redhill Ave Ste B, Irvine, CA 92614 2020-09-28
1245843572 Jose Raul Sanchez IIi Behavior Technician 1063 Mcgraw Ave, Irvine, CA 92614 2020-08-26
1548871064 Angelina Renee Armenta Behavior Technician 1063 Mcgraw Avenue, Suite 100, Irvine, CA 92614 2020-08-10
1083267827 Jd Health LLC Durable Medical Equipment & Medical Supplies 18003 Sky Park Circle, Suite B-c, Irvine, CA 92614 2019-07-22
1326609280 Abigail Briana Lozano-flores Behavior Technician 18008 Sky Park Circle, Suite 110, Irvine, CA 92614 2019-06-21
1770085235 Heather M. Ayala Dietitian, Registered 17985 Sky Park Circle Suite A, Irvine, CA 92614 2018-03-01
1598266033 Camille Plumbar Chiropractor 17811 Skypark Circle, Suite E, Irvine, CA 92614 2018-02-21
1952812448 Mary M Ahmadian Nurse Practitioner Global Transitional Care Suite 100, 2 Executive Circle, Irvine, CA 92614 2017-10-24
1134656804 Reza Abaei Tafreshi Dentist 3 Pazzi, Irvine, CA 92614 2017-05-12
1467991307 Laboratory Medicine Consultants In Diagnostics Medical Genetics 1565 A Mcgaw Ave, Irvine, CA 92614 2017-02-13
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Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336679109 Ucr Health - Psychiatry Psychiatry & Neurology 18881 Von Karman Ave # 1227, Irvine, CA 92612-1500 2017-06-14
1811263114 Michele Nelson Psychiatry & Neurology 18881 Von Karman Ave Ste 1227, Irvine, CA 92612-1500 2012-03-30
1508156316 Elly R Lee Psychiatry & Neurology 2515 Mccabe Way, Suite 350, Irvine, CA 92614-9401 2011-04-13
1033449673 Theodore Pearlman Psychiatry & Neurology 43 Juneberry, Irvine, CA 92606-4503 2010-01-04
1942457999 Shilpa Diwan Psychiatry & Neurology 19772 Macarthur Blvd Ste 220, Irvine, CA 92612-2405 2008-08-21
1154508414 Kamel L. Kamel, M.d, Inc Psychiatry & Neurology 5405 Alton Pkwy Ste 5a, Irvine, CA 92604-3717 2008-01-29
1346437159 Roger N Walsh Psychiatry & Neurology University of California Medical School, Department of Psychiatry, Irvine, CA 92697-1675 2007-09-26
1831390103 Laurence Frederic Greenberg Psychiatry & Neurology 19100 Von Karman Ave, Suite 290, Irvine, CA 92612-1539 2007-05-31
1265559140 Deena Mcrae Psychiatry & Neurology 18301 Von Karman Ave, Suite 880, Irvine, CA 92612-1009 2007-03-23
1730213497 Alejandra Ruth Suzuki Psychiatry & Neurology 1 Jenner Ste 210, Irvine, CA 92618-3844 2007-03-15
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Competitor

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City IRVINE
Zip Code 92614

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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