BRIAN GRIFFIN PHD
NPI 1265596845
Psychologist in Chicago, IL

Active since December 20, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
441 E ERIE ST APT 2511, CHICAGO, IL 60611(312) 475-1576 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Brian Griffin Phd NPPES

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

BRIAN GRIFFIN PHD (NPI 1265596845) is an individual psychologist in Chicago, Illinois and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Northwestern University Feinberg Medical School (1985).

NPPES Registry Identity

NPI1265596845
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameBRIAN GRIFFINCredential: PHD
Location Address441 E ERIE ST APT 2511Chicago, IL 60611-4426
Mailing Address441 E Erie St Apt 2511Chicago, IL 60611-4426 · (312) 475-1576
Sole ProprietorYes
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1985
Enumeration DateDecember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1265596845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
441 E ERIE ST APT 2511, Chicago, IL 60611

Other Identifiers 2

Medicare ID-Type Unspecified785260IL · Medicare
Other01673210IL · Blue Cross

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

Brian Griffin Phd 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 ID8921085713
PECOS Enrollment IDI20040630000376
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.

Medicare Billing Reassignment

Medicare enrollment records show Brian Griffin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
DEPT 5777
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 4,817 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.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
618 services21 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

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 Brian Griffin's NPI number?

The NPI number for Brian Griffin is 1265596845. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Where is Brian Griffin located?

Brian Griffin practices at 441 E Erie St Apt 2511, Chicago, IL 60611. The listed phone number is (312) 475-1576.

What is Brian Griffin's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Brian Griffin enrolled in Medicare?

Yes. Brian Griffin 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 Brian Griffin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Griffin reassigns Medicare benefits to Northwestern Medical Faculty Foundation (Carol Stream, IL). 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 Brian Griffin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Griffin accept?

Health plans from Oscar Health list Brian Griffin 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 Brian Griffin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.