Adejoke B. Jegede, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

34277 Issued in TX

Practice address

6936 Sea Harbor Dr
Suite 200
Grand Prairie, TX 75054-7280

Phone

(817) 600-8892

Fax

(682) 503-6106

NPI assigned

Jan 13, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Mansfield Medical Center Hospital, Mansfield, TX, CCN 670023

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Jegede & Associates, PLLC

  • Clinical Psychologist
  • Grapevine, TX
  • NPI 1669997375

  Clinical Neuropsychologist

  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Methodist Hospitals of Dallas

  • General Acute Care Hospital
  • Mansfield, TX
  • NPI 1689629941
  Care Compare affiliation

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1750528741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 MUSTANG DR",
            "address_2": "SUITE 200",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760511009",
            "telephone_number": "817-600-8892",
            "fax_number": "682-503-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6936 SEA HARBOR DR",
            "address_2": "SUITE 200",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750547280",
            "telephone_number": "817-600-8892",
            "fax_number": "682-503-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEGEDE",
        "first_name": "ADEJOKE",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-13",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017470",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "34277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jas Health Services
• Ehsan Javidan-Nejad, DDS
• JDM Healthcare Services LLC
• Shelline Jeanty, LMSW
• Ashley Jeffers-Bravo
• Joshua Odell Jenkins
• Jacqueline Jernigan
• Jerry F Gurkoff, D. O. P.a.
• Jerry Ike
• Priyanka Jethwani, MD

• Clinical Psychologist in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; 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.