DR. BRETTJET LYN CODY PHD
NPI 1457851230
Psychologist in Round Rock, TX

Active since February 18, 2018PECOS EnrolledAccepts Medicare Assignment
4200 CISCO VALLEY DR, ROUND ROCK, TX 78664(512) 909-0453 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 25, 2023, Aug 17, 2023, Dec 16, 2021 and 4 more (7 updates tracked since 2018).

About Dr. Brettjet Lyn Cody Phd NPPES

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

DR. BRETTJET LYN CODY PHD (NPI 1457851230) is an individual psychologist in Round Rock, Texas, licensed in Texas (37474) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1457851230
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. BRETTJET LYN CODYCredential: PHD
Location Address4200 CISCO VALLEY DRRound Rock, TX 78664-3940
Mailing Address4200 Cisco Valley DrRound Rock, TX 78664-3940
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 18, 2018
Last NPPES UpdateAugust 25, 20237 updates tracked since enumeration
NPPES CertifiedAugust 25, 2023
✔ NPI 1457851230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in TX · 37474
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.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 37474 (TX)
Also ListedPsychologist · Intellectual and Developmental DisabilitiesTaxonomy 103TM1800X · License 37474 (TX)
Also ListedPsychologist · SchoolTaxonomy 103TS0200X · License 70666 (TX)
4200 CISCO VALLEY DR, Round Rock, TX 78664

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

Dr. Brettjet Lyn Cody 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 ID6406247022
PECOS Enrollment IDI20211216000092
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 Brettjet Cody reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
315 W MCLAIN DR
Sherman, TX 75092
  • Reassigned Medicare billing, Texas enrollment
  • 23 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.

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 Brettjet Cody's NPI number?

The NPI number for Brettjet Cody is 1457851230. It was assigned to this individual provider in the NPPES registry on February 18, 2018.

Where is Brettjet Cody located?

Brettjet Cody practices at 4200 Cisco Valley Dr, Round Rock, TX 78664. The listed phone number is (512) 909-0453.

What is Brettjet Cody's specialty?

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

Is Brettjet Cody enrolled in Medicare?

Yes. Brettjet Cody 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 Brettjet Cody's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brettjet Cody reassigns Medicare benefits to Texoma Community Center (Sherman, TX). 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 Brettjet Cody's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brettjet Cody accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Brettjet Cody 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 Brettjet Cody was last updated on August 25, 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.