Judith A Kellenberger
Psychologist in Joplin, MO. Individual provider (NPI-1).
NPI number1619937414
StatusActive
Last updated in NPPESJul 15, 2014
Details
- NPI
- 1619937414
- Entity type
- Individual (NPI-1)
- Name
- Judith A Kellenberger
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 24, 2006
- Last updated
- Jul 15, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 01618 | MO | Yes |
Other names
- Judith A Garrity (Former Name)
Practice location
1230 N Duquesne RdJoplin, MO 64801-1509
Phone 417-782-1443
Mailing address
3555 Alpaca RdJoplin, MO 64804-8735
Phone 417-781-9160
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 14 Psychologist providers in Joplin · All 3,057 providers in Joplin
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