Skip to content
NPISignal

Individual Healthcare Provider

Grace Kelly Vallejo, MD

NPI Record: ActivePsychiatry & Neurology — Psychiatry
NPI1215564349
West Columbia, South Carolina

Provider's NPPES record last updated: May 19, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1215564349
Primary Specialty
Psychiatry & Neurology — Psychiatry
Practice Location
West Columbia, South Carolina
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 7:11 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Psychiatry & Neurology

    Psychiatry

    Allopathic & Osteopathic Physicians

    Primary

    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.

    Taxonomy code 2084P0800X
  • Psychiatry & Neurology

    Neurology

    Allopathic & Osteopathic Physicians

    A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

    Taxonomy code 2084N0400X

Provider-Reported License Information

Psychiatry & Neurology (Michigan)
4301512093
Psychiatry & Neurology (South Carolina)
93769
Psychiatry & Neurology (Tennessee)
71490
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

146 E Hospital Dr Ste 120a

West Columbia, South Carolina 29169-4800

Phone: (803) 936-7460

Additional Practice Location

4000 Wellness Dr

Midland, Michigan 48670-2113

Phone: (989) 839-3538

Additional Practice Location

1700 Medical Center Pkwy

Murfreesboro, Tennessee 37129-2245

Phone: (615) 396-4100

Additional Practice Location

8900 Van Wyck Expy

Jamaica, New York 11418-2832

Phone: (718) 206-7708

Additional Practice Location

1 Ford Pl Ste 1c

Detroit, Michigan 48202-3450

Phone: (313) 874-6677

Record Information

Enumeration Date
March 26, 2020
Provider's NPPES Record Last Updated
May 19, 2026
Certification Date
May 19, 2026
NPISignal NPPES Dataset
August 2026

See Something Wrong?

Incorrect provider information

Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.

Update a record through NPPES

Something wrong with this page?

If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.

Report a display issue