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JODI BRIN PSYCHOLOGICAL SERVICES LLC
NPI 1134577133
Psychologist - Clinical in Mequon, WI

Active since May 31, 2016
14135 N CEDARBURG RD, MEQUON, WI 53097(262) 377-2006 Get Directions Write a Review

NPPES record last updated: July 28, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jodi Brin Psychological Services Llc NPPES

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

JODI BRIN PSYCHOLOGICAL SERVICES LLC (NPI 1134577133) is a healthcare organization registered as a clinical in Mequon, Wisconsin and active in the NPI registry since May 2016. The organization lists Jodi Allison Brin, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1134577133
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameJODI BRIN PSYCHOLOGICAL SERVICES LLC
Location Address14135 N CEDARBURG RDMequon, WI 53097-1416
Mailing Address12616 N Saint Anne LnMequon, WI 53092-2263 · (262) 236-6693
Phone(262) 377-2006
Organization SubpartNo
Authorized OfficialJodi Allison BrinClinical Psychologist · (262) 236-6693
Enumeration DateMay 31, 2016
Last NPPES UpdateJuly 28, 2016
✔ NPI 1134577133 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 · 3346-57
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.
14135 N CEDARBURG RD, Mequon, WI 53097
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jodi Brin Psychological Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jodi Brin Psychological Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jodi Brin, PSY.D.
Clinical Psychologist
NPI 1629426200
14135 N CEDARBURG RD
Mequon, WI 53097
(262) 377-2006
✔ PECOS✔ Accepts MedicareSame address

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 Jodi Brin Psychological Services LLC's NPI number?

The NPI number for Jodi Brin Psychological Services LLC is 1134577133. It was assigned to this organization in the NPPES registry on May 31, 2016.

Where is Jodi Brin Psychological Services LLC located?

Jodi Brin Psychological Services LLC is located at 14135 N Cedarburg Rd, Mequon, WI 53097. The listed phone number is (262) 377-2006.

What is Jodi Brin Psychological Services LLC's specialty?

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

Is Jodi Brin Psychological Services LLC enrolled in Medicare?

Yes. Jodi Brin Psychological Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jodi Brin Psychological Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Jodi Brin Psychological Services LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jodi Brin Psychological Services LLC was last updated on July 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.