Jegede & Associates, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

34277 Issued in TX

Legal business name

JEGEDE & ASSOCIATES, PLLC

Practice address

2311 Mustang Dr Ste 200
Grapevine, TX 76051-1010

Phone

(817) 600-8892

Fax

(682) 503-6106

NPI assigned

Aug 3, 2017

Organization subpart

No

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

Authorized official

Name

Adejoke Jegede, PHDNPI 1750528741

Title

Neuropsychologist

Phone

(817) 600-8892

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adejoke B. Jegede, PH.D.

  • Clinical Psychologist
  • Grand Prairie, TX
  • NPI 1750528741

  Clinical Neuropsychologist

  Medicare reassignment NPD Authorized official
• Jamie McNichol, PSY.D.

  • Psychologist
  • Dallas, TX
  • NPI 1265623060
  Medicare reassignment NPD
• Carole Lynn Scott-Morgan, LPC ASSOCIATE

  • Professional Counselor
  • Cedar Hill, TX
  • NPI 1477266773
  Medicare reassignment NPD

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608681600000",
    "number": "1669997375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 SHANNON OXMOOR RD # 67",
            "city": "SHANNON",
            "state": "AL",
            "postal_code": "351422000",
            "telephone_number": "888-212-4243",
            "fax_number": "972-284-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 MUSTANG DR STE 200",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760511010",
            "telephone_number": "817-600-8892",
            "fax_number": "682-503-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEGEDE & ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A",
        "authorized_official_last_name": "JEGEDE",
        "authorized_official_first_name": "ADEJOKE",
        "authorized_official_title_or_position": "NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "817-600-8892",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "34277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason S. Daaboul DDS PA
• Marcin Jastrzab, PT, DPT
• Laura Jauregui, RBT
• Abhiram Javvaji, MD
• JDS Labs LLC
• Rachelle Jense
• Jessica Ann Jensen, PA-C
• Ronald Jensen, D.O.
• Jentrify RX, LLC
• Annette Jerome, PHD

• Clinical Psychologist in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.