DR. JILL MALLIN PHD, LP
NPI 1184248593
Psychologist in Fort Atkinson, WI
About Dr. Jill Mallin Phd, Lp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JILL MALLIN PHD, LP (NPI 1184248593) is an individual psychologist in Fort Atkinson, Wisconsin, licensed in Wisconsin (2850-57) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2007).
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 (PECOS)
Dr. Jill Mallin Phd, Lp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jill Mallin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Atkinson, WI 53538
- Reassigned Medicare billing, Wisconsin enrollment
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 Jill Mallin's NPI number?
The NPI number for Jill Mallin is 1184248593. It was assigned to this individual provider in the NPPES registry on June 1, 2020.
Where is Jill Mallin located?
Jill Mallin practices at 201 N Main St Ste 411, Fort Atkinson, WI 53538. The listed phone number is (920) 397-4015.
What is Jill Mallin's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Jill Mallin enrolled in Medicare?
Yes. Jill Mallin is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jill Mallin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jill Mallin reassigns Medicare benefits to Hidden Path Counseling, LLC (Fort Atkinson, 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 Jill Mallin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jill Mallin accept?
Health plans from Dean Health Plan, Group Health Cooperative-SCW, Quartz and UnitedHealthcare list Jill Mallin 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 Jill Mallin was last updated on January 12, 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.