Jared A Doegey

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

31677 Issued in CA

Practice address

511 Ballard Dr
White House, TN 37188-2013

Phone

(409) 888-1411

NPI assigned

Mar 17, 2020

Last updated

Feb 27, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 CA, UT, TN3 enrollments

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 3

Specialty

Clinical Psychologist

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: jdoegey88995@direct.llu.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Breakthrough Psychology Group PC

  • Clinical Child & Adolescent Psychologist
  • Eastvale, CA
  • NPI 1457095986

  TN

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1922634492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1683 CIRRUS WAY",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922233232",
            "telephone_number": "409-888-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 BALLARD DR",
            "city": "WHITE HOUSE",
            "state": "TN",
            "postal_code": "371882013",
            "telephone_number": "409-888-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOEGEY",
        "first_name": "JARED",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-17",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "31677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crossroads Sleep Center,PLLC
• Crossroads Urgent Care PLLC (WellNow Urgent Care of White House)
• Teri E Dean, PHARMD
• Hank D Dehaven, O.D.
• Leslie Dehaven, OD
• Travis Duke, DPT
• E & E Eyecare LLC (E & E Eyecare)
• East Nashville Aesthetic Dentistry PLLC (White House Aesthetic and Implant Dentistry)
• Alayna L Edwards
• Lavonne May Elliott (Clifford), MSN, APRN, FNP-C, PM

• Clinical Child & Adolescent Psychologist in White House, TN
• Providers in White House, TN by specialty
• Clinical Child & Adolescent Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; 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.