DR. JAZMIN NICOLE MOGAVERO PHD
NPI 1386260453
Clinical Neuropsychologist in Chicago, IL

Q: What is Jazmin Mogavero's NPI number?

The NPI number for Jazmin Mogavero is 1386260453. It was assigned to this individual provider in the NPPES registry on June 24, 2020.

Q: What is Jazmin Mogavero's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Jazmin Mogavero was last updated on October 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 24, 2020PECOS EnrolledAccepts Medicare Assignment

676 N SAINT CLAIR ST FL 11, CHICAGO, IL 60611(312) 694-7059 Get Directions Write a Review

NPPES record last updated: October 22, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 22, 2023, May 1, 2023, Jun 24, 2020 (3 updates tracked since 2020).

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About Dr. Jazmin Nicole Mogavero Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAZMIN NICOLE MOGAVERO PHD (NPI 1386260453) is an individual clinical neuropsychologist in Chicago, Illinois, licensed in New York (025660) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1386260453

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameDR. JAZMIN NICOLE MOGAVEROCredential: PHD

Location Address676 N SAINT CLAIR ST FL 11Chicago, IL 60611-2954

Mailing Address676 N Saint Clair St Fl 11Chicago, IL 60611-2954

Phone(312) 694-7059

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateJune 24, 2020

Last NPPES UpdateOctober 22, 20233 updates tracked since enumeration

NPPES CertifiedOctober 22, 2023

✔ NPI 1386260453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in NY · 025660

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

676 N SAINT CLAIR ST FL 11, Chicago, IL 60611

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jazmin Nicole Mogavero Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961864285

PECOS Enrollment IDI20230817001625

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jazmin Mogavero reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Utah Behavioral Health Services

1,258 mi

Psychiatry

501 S CHIPETA WAY
Salt Lake City, UT 84108

Reassigned Medicare billing, Utah enrollment
295 clinicians in this Medicare group

NPI 1093265654 (801) 585-1575

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Evaluation of neuropsychological test, each additional hour 96133

This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.

188 services52 patients

Evaluation of neuropsychological test, first hour 96132

An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.

52 services52 patients

Exam of neurobehavioral status, first hour 96116

An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.

43 services43 patients

Treatment of behavior impacting health with family and patient, initial 30 minutes 96167

This treatment involves a healthcare professional discussing with you and your family about behaviors impacting health. The initial session lasts for 30 minutes, focusing on understanding the behavior and suggesting ways to improve it for better health outcomes.

29 services29 patients

Treatment of behavior impacting health with family and patient, each additional 30 minutes 96168

This procedure involves working with both the patient and their family to address behaviors that may be negatively impacting the patient's health. The treatment session lasts for an additional 30 minutes, providing extra time to explore strategies and solutions.

25 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number460009

Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICAH SAMUEL MSW

Social Worker

676 N SAINT CLAIR ST FL 11
CHICAGO, IL 60611

Cook County (312) 694-0882

DR. SHARON LYNN KRAMPER PHD

Psychologist (Clinical)

676 N SAINT CLAIR ST FL 11
CHICAGO, IL 60611

Cook County (312) 685-5060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jazmin Mogavero's NPI number?

The NPI number for Jazmin Mogavero is 1386260453. It was assigned to this individual provider in the NPPES registry on June 24, 2020.

Where is Jazmin Mogavero located?

Jazmin Mogavero practices at 676 N Saint Clair St Fl 11, Chicago, IL 60611. The listed phone number is (312) 694-7059.

What is Jazmin Mogavero's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Jazmin Mogavero enrolled in Medicare?

Yes. Jazmin Mogavero is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jazmin Mogavero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jazmin Mogavero reassigns Medicare benefits to University Of Utah Behavioral Health Services (Salt Lake City, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jazmin Mogavero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jazmin Mogavero accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Jazmin Mogavero as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jazmin Mogavero affiliated with any hospitals?

According to CMS data, Jazmin Mogavero is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Jazmin Mogavero was last updated on October 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.