National Provider Identifier
Melissa Marie Kellogg, PMHNP
Melissa Marie Kellogg, PMHNP is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Rochester, NY and a listed phone number of (585) 275-2100.
Profile Overview
- NPI
- 1194513184
- Provider Type
- Individual
- Primary Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Enumeration Date
- April 29, 2025
- Last Updated
- June 03, 2025
Practice Location
- 300 Crittenden Blvd
- Rochester, NY 14642-0001
Phone: (585) 275-2100
Mailing Address
- 1468 Five Mile Line RD
- Penfield, NY 14526-9744
Specialties
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
- Psychiatric/Mental Health Registered Nurse (163WP0808X)
Full Record
- NPI
- 1194513184
- Entity Type
- Individual
- Last Name
- Kellogg
- First Name
- Melissa
- Middle Name
- Marie
- Credential
- PMHNP
- Provider Other Last Name
- Marshall/Papadopulos
- Provider Other First Name
- Melissa
- Provider Other Middle Name
- Marie
- Provider Other Credential Text
- RN
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1468 Five Mile Line RD
- Mailing City
- Penfield
- Mailing State
- NY
- Mailing ZIP Code
- 14526-9744
- Mailing Country
- US
- Mailing Phone
- (585) 615-6391
- Practice Street Address
- 300 Crittenden Blvd
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-2100
- Enumeration Date
- April 29, 2025
- Last Updated
- June 03, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- June 03, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X), Psychiatric/Mental Health Registered Nurse (163WP0808X)