MARINA CLARICE TIERNEY PSY.D.
NPI 1396858825
Psychologist in Brookfield, WI

Active since August 17, 2006PECOS Enrolled
12760 W NORTH AVE BLDG A, BROOKFIELD, WI 53005(262) 439-5500 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marina Clarice Tierney Psy.d. NPPES

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

MARINA CLARICE TIERNEY PSY.D. (NPI 1396858825) is an individual psychologist in Brookfield, Wisconsin, licensed in Wisconsin (2459-057) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1396858825
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMARINA CLARICE TIERNEYCredential: PSY.D.
Location Address12760 W NORTH AVE BLDG ABrookfield, WI 53005-4628
Mailing Address12760 W North Ave Bldg ABrookfield, WI 53005-4628 · (262) 439-5500
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 17, 2006
Last NPPES UpdateSeptember 24, 2025
NPPES CertifiedSeptember 24, 2025
NPI 1396858825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WI · 2459-057
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.
12760 W NORTH AVE BLDG A, Brookfield, WI 53005

Other Identifiers 1

Medicaid43576000WI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Marina Clarice Tierney Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264413582
PECOS Enrollment IDI20040525000107
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.

Other Providers at the Same Location NPPES 3

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

Psychologist
12760 W NORTH AVE BLDG A
BROOKFIELD, WI 53005
Psychiatry & Neurology (Child & Adolescent Psychiatry)
12760 W NORTH AVE BLDG A
BROOKFIELD, WI 53005
Psychiatry & Neurology (Psychiatry)
12760 W NORTH AVE BLDG A
BROOKFIELD, WI 53005

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 Marina Tierney's NPI number?

The NPI number for Marina Tierney is 1396858825. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Marina Tierney located?

Marina Tierney practices at 12760 W North Ave Bldg A, Brookfield, WI 53005. The listed phone number is (262) 439-5500.

What is Marina Tierney's specialty?

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

Is Marina Tierney enrolled in Medicare?

Yes. Marina Tierney is registered in the Medicare PECOS enrollment system.

What insurance does Marina Tierney accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, Network Health and UnitedHealthcare list Marina Tierney 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 Marina Tierney was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.