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JILL EFTA BREITBACH PSY D
NPI 1487626529
Clinical Neuropsychologist in Coeur D Alene, ID

Active since February 03, 2006PECOS EnrolledAccepts Medicare Assignment
509 W HANLEY AVE STE 101, COEUR D ALENE, ID 83815(208) 666-0357(208) 666-0468 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 9, 2026, Aug 7, 2023 (2 updates tracked since 2023).

About Jill Efta Breitbach Psy D NPPES

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

JILL EFTA BREITBACH PSY D (NPI 1487626529) is an individual clinical neuropsychologist in Coeur D Alene, Idaho, licensed in Idaho (203499) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1487626529
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameJILL EFTA BREITBACHCredential: PSY D
Location Address509 W HANLEY AVE STE 101Coeur D Alene, ID 83815-8994
Mailing Address509 W Hanley Ave Ste 101Coeur D Alene, ID 83815-8994 · (208) 666-0357 · Fax (208) 666-0468
Phone(208) 666-0357
Fax(208) 666-0468
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateFebruary 3, 2006
Last NPPES UpdateJanuary 9, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2026
✔ NPI 1487626529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in ID · 203499
Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 203499 (ID)
509 W HANLEY AVE STE 101, Coeur D Alene, ID 83815
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jill Efta Breitbach Psy D 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 ID6002288396
PECOS Enrollment IDI20230215000641
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.

Areas of Expertise CMS Part B claims 7

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.

Administration of psychological or neuropsychological test by technician, each additional 30 minutes 96139
This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.
256 services35 patients
Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
183 services47 patients
Administration of psychological or neuropsychological test, each additional 30 minutes 96137
This procedure involves administering psychological or neuropsychological tests to evaluate your mental functions. Each additional 30 minutes allows for a more in-depth assessment of your cognitive abilities, emotions, and behavior. It's crucial for accurate diagnosis and treatment planning.
54 services11 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
53 services52 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
52 services52 patients
Administration of psychological or neuropsychological test by technician, first 30 minutes 96138
This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.
41 services35 patients

Other Providers at the Same Location NPPES 2

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

MISTY BESCH
Social Worker (Clinical)
509 W HANLEY AVE STE 101
COEUR D ALENE, ID 83815
Kootenai County (253) 318-1688
MINDFUL THOUGHTS
Counselor (Mental Health)
509 W HANLEY AVE STE 101
COEUR D ALENE, ID 83815
Kootenai County (253) 318-1688

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 Breitbach's NPI number?

The NPI number for Jill Breitbach is 1487626529. It was assigned to this individual provider in the NPPES registry on February 3, 2006.

Where is Jill Breitbach located?

Jill Breitbach practices at 509 W Hanley Ave Ste 101, Coeur D Alene, ID 83815. The listed phone number is (208) 666-0357.

What is Jill Breitbach's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Jill Breitbach enrolled in Medicare?

Yes. Jill Breitbach 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.

When was this NPI record last updated?

The NPPES record for Jill Breitbach was last updated on January 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.