DR. JONATHAN WILLIAM MARIN PH.D.
NPI 1104600824
Psychologist - Clinical in Menasha, WI

Q: What is Jonathan Marin's NPI number?

The NPI number for Jonathan Marin is 1104600824. It was assigned to this individual provider in the NPPES registry on August 23, 2023.

Q: What is Jonathan Marin's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Marin was last updated on August 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 August 23, 2023PECOS EnrolledAccepts Medicare Assignment

1095 MIDWAY RD, MENASHA, WI 54952(920) 720-2300(920) 720-3719 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jonathan William Marin Ph.d. NPPES

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

DR. JONATHAN WILLIAM MARIN PH.D. (NPI 1104600824) is an individual clinical provider in Menasha, Wisconsin, licensed in Wisconsin (3062-57) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1104600824

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JONATHAN WILLIAM MARINCredential: PH.D.

Location Address1095 MIDWAY RDMenasha, WI 54952-1115

Mailing Address1095 Midway RdMenasha, WI 54952-1115 · (920) 720-2300 · Fax (920) 720-3719

Phone(920) 720-2300

Fax(920) 720-3719

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateAugust 23, 2023

NPPES CertifiedAugust 23, 2023

✔ NPI 1104600824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in WI · 3062-57

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1095 MIDWAY RD, Menasha, WI 54952

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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. Jonathan William Marin Ph.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 ID8729434139

PECOS Enrollment IDI20231020001964

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.

Areas of Expertise CMS Part B claims

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.

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54952 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$163.24 typical visit price

range $53.90 – $163.24

Typical copayment $40.81 (range $13.47 – $40.81)

Most-billed visit code 99205

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

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