Jennifer Vogt, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301018738 Issued in MI

Practice address

1785 W Stadium Blvd Ste 205
Ann Arbor, MI 48103-5285

Phone

(734) 913-1093

Fax

(734) 369-2683

NPI assigned

Jan 5, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optum Behavioral Care of Colorado PCGroup PAC ID 0941648463, 196 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.vogt.1@28621.direct.athenahealth.com

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.

• Optum Behavioral Care of Colorado, P.C.

  • Clinical Psychologist
  • Plymouth, MI
  • NPI 1306616735
  Medicare reassignment Care Compare group NPD
• Optum Behavioral Care of Colorado, P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Plymouth, MI
  • NPI 1114784451
  NPD
• Optum Behavioral Care of Colorado, P.C.

  • Clinical Social Worker
  • De Pere, WI
  • NPI 1396622494
  NPD
• Sage Tree Psychology Group LLC

  • Psychologist
  • Oxford, MI
  • NPI 1265979397
  NPD (past)

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1255797338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 W STADIUM BLVD STE 205",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035285",
            "telephone_number": "734-913-1093",
            "fax_number": "734-369-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 W STADIUM BLVD STE 205",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035285",
            "telephone_number": "734-913-1093",
            "fax_number": "734-369-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGT",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-05",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301018738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Marie Vogl, PHARMD
• Caleb Darwin Vogt, MD
• Catherine Eve Vogt, MD
• Emily Louise Vogt, MD
• Jaclyn Vogt, PHARM.D.
• Jessica Vogt, DPT
• Varun Vohra, MD
• Mariana Voica
• Alison B Voisin, LMHC, LPC
• Kathryn A Volz, M.D.

• Clinical Psychologist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.