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DR. JAY JACOB RADIN PHD
NPI 1366594947
Psychologist - Clinical in Ann Arbor, MI

Active since January 17, 2007Opted out of Medicare · through Mar 18, 2027
2200 FULLER COURT, SUITE 1106B, ANN ARBOR, MI 48105(734) 996-4247(734) 665-2440 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jay Jacob Radin Phd NPPES

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

DR. JAY JACOB RADIN PHD (NPI 1366594947) is an individual clinical provider in Ann Arbor, Michigan, licensed in Michigan (002469) and active in the NPI registry since January 2007. He has opted out of Medicare through March 18, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1366594947
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JAY JACOB RADINCredential: PHD
Location Address2200 FULLER COURT, SUITE 1106BAnn Arbor, MI 48105
Mailing Address2200 Fuller Court, Suite 1106bAnn Arbor, MI 48105 · (734) 996-4247 · Fax (734) 665-2440
Phone(734) 996-4247
Fax(734) 665-2440
Sole ProprietorNo
Enumeration DateJanuary 17, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1366594947 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 MI · 002469
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.
2200 FULLER COURT, Ann Arbor, MI 48105
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedOH14589

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jay Jacob Radin Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 18, 2015 through March 18, 2027.

Opt-Out Effective DateMarch 18, 2015
Opt-Out In Effect ThroughMarch 18, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48105 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
$177.36 typical visit price
range $58.04 – $177.36
Typical copayment $44.34 (range $14.51 – $44.34)
Most-billed visit code 99205
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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

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

ECSTATIC HOME CARE
Home Health
2200 FULLER COURT, SUITE 805B
ANN ARBOR, MI 48105
Washtenaw County (734) 945-9553

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 Jay Radin's NPI number?

The NPI number for Jay Radin is 1366594947. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Where is Jay Radin located?

Jay Radin practices at 2200 Fuller Court Suite 1106B, Ann Arbor, MI 48105. The listed phone number is (734) 996-4247.

What is Jay Radin's specialty?

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

Is Jay Radin enrolled in Medicare?

No. Jay Radin has opted out of Medicare through March 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jay Radin 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.