Jennifer Kaye Paweleck-Bellingrodt, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3616 Issued in AZ

Practice address

14539 W Indian School Rd
Suite 800
Goodyear, AZ 85395-9279

Phone

(623) 882-3364

Fax

(623) 882-3367

NPI assigned

Jul 4, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alam, LLC

  • Psychiatry Physician
  • Goodyear, AZ
  • NPI 1497906077
  NPD (past)
• Desert Sage Health PLLC

  dba West Valley Family Development Center

  • Psychologist
  • Goodyear, AZ
  • NPI 1891201521
  NPD (past)
• Linda McCandless, DO, Inc.

  • Psychiatry Physician
  • Goodyear, AZ
  • NPI 1215365655
  NPD (past)
• San Pedro Health

  • Community/Behavioral Health Agency
  • Sierra Vista, AZ
  • NPI 1841636776
  NPD (past)
• San Pedro Health PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sierra Vista, AZ
  • NPI 1245501188
  NPD (past)
• Telecare Mental Health Services of Arizona, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sierra Vista, AZ
  • NPI 1073918470
  NPD (past)
• West Valley Psychological Services, LLC

  dba West Valley Family Development Center

  • Psychologist
  • Litchfield Park, AZ
  • NPI 1457528739
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265932800000",
    "number": "1174553028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3973 N EVERGREEN ST",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853963672",
            "telephone_number": "520-249-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14539 W INDIAN SCHOOL RD",
            "address_2": "SUITE 800",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853959279",
            "telephone_number": "623-882-3364",
            "fax_number": "623-882-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWELECK-BELLINGRODT",
        "first_name": "JENNIFER",
        "middle_name": "KAYE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2010-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "3616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z124025",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacie Lyn Patterson, PA
• Paul S. Charnetsky, M.D. P.C.
• Loveleen Paul, DO
• Jeffrey Paulus
• Marie Pavese, M.D.
• Linda Gail Paxton
• Danielle Nicole Payne, CF-SLP
• Hiroko Pearce
• Rodney Pearson, BS, MSPC, LPC, D.MIN
• Pebble Creek Medical Group PLLC

• Clinical Psychologist in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.