1. Home
  2. Directory
  3. California
  4. Laguna Beach
  5. Psychiatry Neurology
  6. NPI Profile

DR. KELLEE RAE CLOUGHERTY M.D.
NPI 1962439661
Psychiatry & Neurology - Child & Adolescent Psychiatry in Laguna Beach, CA

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
21632 WESLEY DR, LAGUNA BEACH, CA 92651(949) 499-5346 Get Directions Write a Review

NPPES record last updated: June 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kellee Rae Clougherty M.d. NPPES

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

DR. KELLEE RAE CLOUGHERTY M.D. (NPI 1962439661) is an individual child & adolescent psychiatry provider in Laguna Beach, California, licensed in California (G79391) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Laguna Niguel, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1993).

NPPES Registry Identity

NPI1962439661
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. KELLEE RAE CLOUGHERTYCredential: M.D.
Location Address21632 WESLEY DRLaguna Beach, CA 92651-8167
Mailing Address30101 Town Center Dr Ste 216Laguna Niguel, CA 92677-2065 · (805) 798-5100 · Fax (949) 388-5125
Phone(949) 499-5346
Sole ProprietorYes
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1993
Enumeration DateJune 27, 2006
Last NPPES UpdateJune 27, 2022
NPPES CertifiedJune 27, 2022
✔ NPI 1962439661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in CA · G79391
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
21632 WESLEY DR, Laguna Beach, CA 92651
Open in Google Maps ↗

Secondary Practice Location 1

Location 130101 Town Center Dr Ste 216Laguna Niguel, CA 92677-2065 · Phone (805) 798-5100 · Fax (949) 388-5125

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kellee Rae Clougherty M.d. 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 ID2769408319
PECOS Enrollment IDI20051021000901
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.

Other Providers at the Same Location NPPES 6

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

TRISHA CHURCH
Counselor (Mental Health)
21632 WESLEY DR
LAGUNA BEACH, CA 92651
Orange County (949) 499-5346
JENNA ROBINSON
Social Worker
21632 WESLEY DR
LAGUNA BEACH, CA 92651
Orange County (949) 499-5346
DR. RYEMAINE KING PSYD
Psychologist
21632 WESLEY DR
LAGUNA BEACH, CA 92651
Orange County (949) 499-5346
BRENDA LEE DIGRUCCIO L.C.S.W.
Social Worker (Clinical)
21632 WESLEY DR
LAGUNA BEACH, CA 92651
Orange County (949) 499-5346
DR. NANCY D. MCGOVERN PH.D.
Psychologist (Clinical)
21632 WESLEY DR
LAGUNA BEACH, CA 92651
Orange County (949) 499-5346
COUNTY OF ORANGE
Clinic/Center (Adolescent and Children Mental Health)
21632 WESLEY DR
LAGUNA BEACH, CA 92651
Orange County (949) 499-5346

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 Kellee Clougherty's NPI number?

The NPI number for Kellee Clougherty is 1962439661. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Kellee Clougherty located?

Kellee Clougherty practices at 21632 Wesley Dr, Laguna Beach, CA 92651. The listed phone number is (949) 499-5346.

What is Kellee Clougherty's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Kellee Clougherty enrolled in Medicare?

Yes. Kellee Clougherty 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.

What insurance does Kellee Clougherty accept?

Health plans from Providence Health Plan list Kellee Clougherty 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 Kellee Clougherty was last updated on June 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.