Individual provider Active NPI

Jennifer Dominique Bellegarde, MS, DO

  • Psychiatry Physician
  • Cleveland, OH
National Provider Identifier
1245684117
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
34.014507 Issued in OH
Practice address
11100 Euclid Ave
University Hospitals Case Medical Center
Cleveland, OH 44106-1716
Phone
(216) 844-3450
NPI assigned
Apr 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 34.014507 OH Primary

Addresses

Primary practice location

11100 Euclid Ave
University Hospitals Case Medical Center
Cleveland, OH 44106-1716

Mailing address

11100 Euclid Ave
University Hospitals Case Medical Center
Cleveland, OH 44106-1716
Phone (216) 844-3450

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jenniferbellegarde@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200521003037 OH Practitioner - Psychiatry 2668802539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians

Practice addresses (Care Compare)

10524 Euclid Ave
Cleveland, OH 44106-2205
Phone (216) 844-2400

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
63.13
Promoting interoperability
100
Improvement activities
40
Cost
74.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Blick Clinic, Inc. CurrentSince Mar 1, 2021 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Jul 1, 2020 Accepting new patients
Blick Clinic, Inc. CurrentSince Mar 1, 2021 Accepting new patients
Blick Clinic, Inc. Current Accepting new patients

Locations

640 W Market St
Akron, OH 44303
Phone (330) 762-5425

274 White Pond Dr
Akron, OH 44320
Phone (330) 762-5425

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

10524 Euclid Ave
Cleveland, OH 44106
Phone (216) 844-3881

11100 Euclid Ave
Cleveland Heights, OH 44106

Interoperability endpoints

  • Direct secure messaging: jbellegarde36221@ehrdirect.uhhospitals.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1245684117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "address_2": "UNIVERSITY HOSPITALS CASE MEDICAL CENTER",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "address_2": "UNIVERSITY HOSPITALS CASE MEDICAL CENTER",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLEGARDE",
        "first_name": "JENNIFER",
        "middle_name": "DOMINIQUE",
        "name_prefix": "Dr.",
        "credential": "MS, DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-18",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "34.014507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jenniferbellegarde@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "11100 Euclid Ave",
            "address_2": "University Hospitals Case Medical Center",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441061716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.