DR. JONATHAN WILLIAM MARIN PH.D.
NPI 1104600824
Psychologist - Clinical in Menasha, WI
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
Specialties & Licenses
Accepted 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. 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.
Medicare Billing Reassignment
Medicare enrollment records show Jonathan Marin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Menasha, WI 54952
- Reassigned Medicare billing, Wisconsin enrollment
- 988 clinicians in this Medicare group
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
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.
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.
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.
MENASHA, WI 54952
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 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.
Where is Jonathan Marin located?
Jonathan Marin practices at 1095 Midway Rd, Menasha, WI 54952. The listed phone number is (920) 720-2300.
What is Jonathan Marin's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Jonathan Marin enrolled in Medicare?
Yes. Jonathan Marin 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 Jonathan Marin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Marin reassigns Medicare benefits to Thedacare, Incorporated (Menasha, WI). 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 Jonathan Marin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jonathan Marin accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Jonathan Marin 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 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 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.
# Dr. Jonathan William Marin, PH.D. · NPI 1104600824
Clinical provider in Menasha, Wisconsin. Individual provider, active in the CMS NPPES registry since August 23, 2023.
## Identity
- **NPI:** 1104600824 (Entity type: Individual)
- **Enumerated:** August 23, 2023
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 3062-57 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1095 MIDWAY RD, Menasha, WI 54952-1115
- **Phone:** (920) 720-2300 · **Fax:** (920) 720-3719
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Thedacare, Incorporated (NPI 1306959515, Menasha, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** August 23, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1104600824) · Data from the CMS NPPES public registry.