Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jazmin Nicole Mogavero, PHD

Individual provider Clinical Neuropsychologist · NPI 1386260453

Dr. Jazmin Nicole Mogavero, PHD is a Clinical Psychologist in Chicago, Illinois. Qualified in 2021, 5 years ago. Practices with University of Utah Behavioral Health Services, a 188-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2020
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

676 N Saint Clair St Fl 11
Chicago, IL 60611-2954
Phone: (312) 694-7059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 025660 (NY)

Record details

NPI number1386260453
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedJune 24, 2020
Last updated in NPPESOctober 22, 2023
Certification dateOctober 22, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice University Of Utah Behavioral Health Services — 188 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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