JARED A DOEGEY
NPI 1922634492
Psychologist - Clinical Child & Adolescent in White House, TN

Active since March 17, 2020PECOS Enrolled
511 BALLARD DR, WHITE HOUSE, TN 37188(409) 888-1411 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jared A Doegey NPPES

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

JARED A DOEGEY (NPI 1922634492) is an individual clinical child & adolescent provider in White House, Tennessee, licensed in California (31677) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1922634492
Entity TypeIndividualMale
Primary Taxonomy103TC2200X
Provider Legal NameJARED A DOEGEY
Location Address511 BALLARD DRWhite House, TN 37188-2013
Mailing Address1683 Cirrus WayBeaumont, CA 92223-3232 · (409) 888-1411
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 17, 2020
Last NPPES UpdateFebruary 27, 2026
NPPES CertifiedFebruary 27, 2026
✔ NPI 1922634492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in CA · 31677
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
511 BALLARD DR, White House, TN 37188

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jared A Doegey is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719308360
PECOS Enrollment IDI20260324000117
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 Jared Doegey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical Child & Adolescent
7346 SUNGOLD AVE
Eastvale, CA 92880
  • Reassigned Medicare billing, California and Tennessee enrollments

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

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 Jared Doegey's NPI number?

The NPI number for Jared Doegey is 1922634492. It was assigned to this individual provider in the NPPES registry on March 17, 2020.

Where is Jared Doegey located?

Jared Doegey practices at 511 Ballard Dr, White House, TN 37188. The listed phone number is (409) 888-1411.

What is Jared Doegey's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Jared Doegey enrolled in Medicare?

Yes. Jared Doegey is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jared Doegey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jared Doegey reassigns Medicare benefits to Breakthrough Psychology Group PC (Eastvale, CA). 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 Jared Doegey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jared Doegey accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 7 other insurers list Jared Doegey 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.

When was this NPI record last updated?

The NPPES record for Jared Doegey was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.