JEFFREY J KELLAMS (NPI# 1689612400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689612400 |
| Entity Type | Individual |
| Full Name | JEFFREY J KELLAMS |
| Credential | M.D. |
| Practice Address |
2601 Cold Spring Rd Indianapolis IN 46222-2202 |
| Mailing Address |
250 N Shadeland Ave Ste 200 Indianapolis IN 46219-4959 |
| Practice Telephone | 3179445000 |
| Mailing Telephone | 3179623834 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
01023914A | IN | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
01023914 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100319000 | 05 |
| Street Address |
2601 COLD SPRING RD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46222-2202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487628855 | Helio C Perez | Psychiatry & Neurology | 2601 Cold Spring Rd, Indianapolis, IN 46222-2202 | 2006-02-14 |
| 1659620524 | Hannah Marie Versino | Psychologist | 2601 Cold Spring Rd, Indianapolis, IN 46222 | 2012-09-06 |
| 1851692933 | Rachel Christine Manos | Student in an Organized Health Care Education/Training Program | 2601 Cold Spring Rd, Indianapolis, IN 46222-2202 | 2010-11-05 |
| 1104944768 | Larue D. Carter Memorial Hospital | Psychiatric Hospital | 2601 Cold Spring Rd, Indianapolis, IN 46222-2202 | 2007-03-26 |
| 1104865435 | Jeffery D Lightfoot | Psychologist | 2601 Cold Spring Rd, Indianapolis, IN 46222-2202 | 2006-06-05 |
| 1336187103 | Michael D Pisano | Psychologist | 2601 Cold Spring Rd, Indianapolis, IN 46222-2202 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194472 | Megan Mccullough | Pharmacist | 10617 East Washington Street, Pharmacy At Walmart, Indianapolis, IN 46222 | 2020-11-02 |
| 1215401450 | Resilient Services | Counselor | 3519 W Michigan Street, Indianapolis, IN 46222 | 2019-01-21 |
| 1376925487 | Ossama Elbarawy | Dentist | 2410 W. 17th St, Indianapolis, IN 46222 | 2015-06-25 |
| 1780025163 | Suzy Q Service Cororation | Chore Provider | 2401 N Tibbs Ave, Indianapolis, IN 46222 | 2013-07-12 |
| 1952607939 | Monica Lee Mcmullen | Dietitian, Registered | 2732 West Michigan St., Westside Health Center, Indianapolis, IN 46222 | 2011-02-08 |
| 1306082318 | Jose Fanor Melendez | Psychiatry & Neurology | 3422 N. Taft Av, Indianapolis, IN 46222 | 2008-12-22 |
| 1861693277 | David Hazra | Preventive Medicine | 340 S. White River Parkway, Indianapolis, IN 46222 | 2007-05-31 |
| 1528191467 | Rem Indiana | Intermediate Care Facility, Mentally Retarded | 3025 Green Hills Lane, Indianapolis, IN 46222 | 2007-03-13 |
| 1366589467 | Indianapolis Osteopathic Hospital Inc. | Podiatrist | 3520 Guion Rd Suite 204, Indianapolis, IN 46222 | 2007-01-30 |
| 1508919077 | Ronald L. Gemma | Family Medicine | 3750 Guion Rd., Ste. 185, Indianapolis, IN 46222 | 2007-01-19 |
| Find all providers in zip 46222 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841796943 | Larrilyn Louise Grant | Psychiatry & Neurology | 355 W 16th St Dept Of, Indianapolis, IN 46202-2207 | 2018-04-05 |
| 1275995698 | Shariff F Tanious | Psychiatry & Neurology | 355 W 16th St Ste 2364, Indianapolis, IN 46202-2279 | 2016-03-24 |
| 1962881318 | Kevin Gerard Masterson | Psychiatry & Neurology | 550 University Blvd # 3124, Indianapolis, IN 46202-5149 | 2015-05-19 |
| 1447665559 | Anne Roney Wessel | Psychiatry & Neurology | 5811 Kingsley Dr, Indianapolis, IN 46220-2712 | 2014-06-26 |
| 1538509476 | Joseph O'hara Niezer | Psychiatry & Neurology | 610 E Southport Rd Ste 200, Indianapolis, IN 46227-8592 | 2013-06-25 |
| 1982041018 | Kenneth Lee Smith II | Psychiatry & Neurology | 2323 Sandringham Cir, Indianapolis, IN 46214-2396 | 2013-05-30 |
| 1831432574 | Curtis Stennett | Psychiatry & Neurology | 563 W Westfield Blvd, Indianapolis, IN 46208 | 2013-04-01 |
| 1376804682 | Corey Allen Trobaugh | Psychiatry & Neurology | 1481 W 10th St # 116a, Richard L. Roudebush Va Medical Center, Indianapolis, IN 46202-2803 | 2012-06-04 |
| 1124347703 | Rachel B Yoder | Psychiatry & Neurology | 705 Riley Hospital Drive, Roc 4300, Indianapolis, IN 46202-5109 | 2010-05-22 |
| 1245462332 | Madelaine M Wohlreich | Psychiatry & Neurology | 5202 Potters Pike, Indianapolis, IN 46234-2934 | 2009-08-21 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46222 |
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| 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.