Active NPI
Kathleen Clegg, MD
- Psychiatry Physician
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35-061231
- Practice address
- 11100 Euclid Ave
Cleveland, OH 44106-1716 - Phone
- (216) 844-2400
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35-061231 | OH | Primary |
Addresses
Primary practice location
11100 Euclid Ave
Cleveland, OH 44106-1716
Mailing address
10524 Euclid Ave # 13-117
Cleveland, OH 44106-2205
Phone (216) 844-5061
Other practice location 1
10524 Euclid Ave # 13-117
Cleveland, OH 44106-2205
Phone (216) 844-5061
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000532967 | Other | OH | ANTHEM |
| 363429 | Other | OH | WELLCARE MEDICAID |
| P00929247 | Other | OH | MEDICARE RAILROAD |
| 0973666 | Medicaid | OH | |
| 000000224254 | Other | OH | UNISON |
| 4662665 | Other | OH | AETNA |
| 260021589 | Other | OH | RAILROAD MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kathleenclegg@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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000
Hospital & facility affiliations
- Uh Cleveland Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.19 of 100
- 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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-061231 | OH | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Metrohealth System | Current | Accepting new patients | |
| The Metrohealth System | Current | Accepting new patients | |
| University Hospitals Medical Group Inc | Current | Accepting new patients | |
| The Metrohealth System | Psychiatry | Current | Accepting new patients |
Locations
8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024
3950 Chester Ave
Cleveland, OH 44114
Phone (216) 431-4131
975 East Blvd
Cleveland, OH 44108
Phone (216) 451-1884
10524 Euclid Ave
#13117
Cleveland, OH 44106
Phone (216) 844-5061
2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348
11100 Euclid Ave
Cleveland Heights, OH 44106
24701 Euclid Ave
Fl 3
Euclid, OH 44117
Phone (216) 383-6950
Interoperability endpoints
- kclegg36541@ehrdirect.uhhospitals.org
- kclegg149868@direct.metrohealth.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.
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1700828852
-
- Pharmacy
- Cleveland, OH
- NPI 1992529911
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1043397292
-
- Multi-Specialty Clinic/Center
- Mentor, OH
- NPI 1487770335
Hospital
-
- Multi-Specialty Clinic/Center
- Westlake, OH
- NPI 1669598082
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609891200000",
"number": "1700809597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10524 EUCLID AVE # 13-117",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441062205",
"telephone_number": "216-844-5061",
"fax_number": "216-844-5833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11100 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441061716",
"telephone_number": "216-844-2400"
}
],
"practiceLocations": [
{
"address_1": "10524 Euclid Ave # 13-117",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441062205",
"country_code": "US",
"telephone_number": "216-844-5061",
"fax_number": "216-844-5833",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLEGG",
"first_name": "KATHLEEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35-061231",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000532967",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE MEDICAID",
"identifier": "363429",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00929247",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0973666",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "000000224254",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4662665",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "260021589",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kathleenclegg@uhps.allscriptsdirect.net",
"affiliation": "N",
"address_1": "10524 Euclid Ave # 13-117",
"city": "Cleveland",
"state": "OH",
"country_code": "US",
"postal_code": "441062205",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.