DR. ADEJOKE B. JEGEDE (NPI# 1750528741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750528741 |
Entity Type | Individual |
Full Name | DR. ADEJOKE B. JEGEDE |
Credential | PH.D. |
Practice Address |
6936 Sea Harbor Dr Suite 200 Grand Prairie TX 75054-7280 |
Mailing Address |
2311 Mustang Dr Suite 200 Grapevine TX 76051-1009 |
Practice Telephone | 8176008892 |
Practice Fax Number | 6825036106 |
Mailing Telephone | 8176008892 |
Mailing Fax Number | 6825036106 |
Enumeration Date | 2009-01-13 |
Last Update Date | 2016-08-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
Y | 103TC0700X |
Psychologist Specialization: Clinical |
34277 | TX | Behavioral Health & Social Service Providers |
N | 103TC0700X |
Psychologist Specialization: Clinical |
017470 | NY | Behavioral Health & Social Service Providers |
Street Address |
6936 SEA HARBOR DR SUITE 200 |
City | GRAND PRAIRIE |
State | TX |
Zip Code | 75054-7280 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518516798 | Joyce King Mathews | Technician | 6928 Clipper Dr., Grand Prairie, TX 75054 | 2019-09-10 |
1144883117 | Helpmates of America, LLC | Non-emergency Medical Transport (VAN) | 7315 Vienta Point, Grand Prairie, TX 75054 | 2019-04-16 |
1962931220 | Ai Community Services LLC | Preferred Provider Organization | 6928 Shoreway Dr, Grand Prairie, TX 75054 | 2017-06-08 |
1689014110 | Skilled Speech Pathology Services, Pllc | Home Health | 7240 Cana, Grand Prairie, TX 75054 | 2013-06-28 |
1649538661 | Surety Care Home Health Services Inc | Home Health | 3032 S Camino Lagos, Grand Prairie, TX 75054 | 2012-04-27 |
1295986578 | Bcp Health Care Incorporated | Nursing Care | 3008 Nadar, Grand Prairie, TX 75054 | 2008-10-06 |
1275656274 | Alexus Dutchess Medical Consulant | Durable Medical Equipment & Medical Supplies | 3167 Gudaloupe, Grand Prairie, TX 75054 | 2007-04-06 |
1922431022 | Urgent Plus Care LLC | Internal Medicine | 7227 Cana, Grand Prairie, TX 75054 | 2013-08-13 |
1578903084 | Katrina Taylor- Green | Speech-Language Pathologist | 7240 Cana, Grand Prairie, TX 75054 | 2013-06-28 |
1275822009 | Homage Healthcare Services, Inc | Home Health | 3008 Nadar, Grand Prairie, TX 75054 | 2011-04-01 |
Find all providers in zip 75054 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578873923 | John B. Prosser | Psychologist | 1013 Lakecrest St, Grand Prairie, TX 75051-3446 | 2010-10-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013517267 | Hunter Boone Small | Psychologist | 5940 Forest Park Rd Apt 1100, Dallas, TX 75235-6444 | 2020-10-27 |
1588263339 | Uttam Psychological Services Pllc | Psychologist | 16711 Cedar Yard Ln, Cypress, TX 77433-5250 | 2020-10-22 |
1194323097 | Ashleigh Elizabeth Fellows | Psychologist | 11750 Mission Trace St, San Antonio, TX 78230-2120 | 2020-10-13 |
1639776412 | Nausheen Noor | Psychologist | 3707 Springhill Ln, Sugar Land, TX 77479-2293 | 2020-10-05 |
1144834268 | Jeffrey Baldridge | Psychologist | 8140 Walnut Hill Ln Ste 450, Dallas, TX 75231-4328 | 2020-09-04 |
1871104760 | Nicole Elizabeth Hooper | Psychologist | 1 Stonebriar Ct, Dallas, TX 75206-8812 | 2020-08-13 |
1770194862 | Nichole Barbara Vincent | Psychologist | 829 Sunnyvale Pl, Uvalde, TX 78801-4078 | 2020-08-12 |
1992313522 | Aisha Iqbal | Psychologist | 5454 La Sierra Dr Ste 201, Dallas, TX 75231-2344 | 2020-07-20 |
1184241598 | Mellissa Tong | Psychologist | 113 W 33rd St, Austin, TX 78705-2313 | 2020-07-01 |
1821615733 | The Clinic Neuropsychological & Psychological Services, Pllc | Psychologist | 101 Uhland Rd Ste 205, San Marcos, TX 78666-6681 | 2020-06-26 |
Find all providers with the same taxonomy |
City | GRAND PRAIRIE |
Zip Code | 75054 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.