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JASON KELLOGG M.D. INC NPI 1235391624


NPI Information

NPI: 1235391624
Provider Name: JASON KELLOGG M.D. INC

Doing Business As: PROGENY PSYCHIATRIC GROUP

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
123 TURQUOISE AVE
NEWPORT BEACH, CA
ZIP 92662
Phone: (949) 340-2111
Get Directions

JASON KELLOGG M.D. INC is a psychiatry psychiatry neurology in Newport Beach, CA. The provider is 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. JASON KELLOGG M.D. INC NPI is 1235391624. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Progeny Psychiatric Group.

The provider's business location address is:

123 TURQUOISE AVE
NEWPORT BEACH, CA
ZIP 92662-036
Phone: (949) 340-2111
Fax: (714) 495-4105

The provider's authorized official is Jason P Kellogg .
The authorized official title is Owner and has the following contact phone number (949) 955-2101.

The enumeration date for this NPI number is 6/27/2008 and was last updated on 7/14/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0300XInternal MedicineGeriatric MedicineNo
22084N0400XPsychiatry & NeurologyNeurologyNo
3213ES0103XPodiatristFoot & Ankle SurgeryNo
4335E00000XProsthetic/Orthotic SupplierNo
52084P0800XPsychiatry & NeurologyPsychiatryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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