DR. JAYLYN CLARK SHIFRIN PHD
NPI 1508469537
Psychologist - Clinical in Lilburn, GA

Q: What is Jaylyn Shifrin's NPI number?

The NPI number for Jaylyn Shifrin is 1508469537. It was assigned to this individual provider in the NPPES registry on November 20, 2020.

Q: What is Jaylyn Shifrin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jaylyn Shifrin was last updated on December 3, 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.

Active since November 20, 2020PECOS Enrolled

3502 HARVEST MOON TRCE SW, LILBURN, GA 30047(229) 977-0834 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 3, 2025, Aug 14, 2025, Mar 27, 2025 and 2 more (5 updates tracked since 2020).

On this page

About Dr. Jaylyn Clark Shifrin Phd NPPES

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

DR. JAYLYN CLARK SHIFRIN PHD (NPI 1508469537) is an individual clinical provider in Lilburn, Georgia, licensed in Georgia (PSY004638) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Cranston.

NPPES Registry Identity

NPI1508469537

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JAYLYN CLARK SHIFRINCredential: PHD

Location Address3502 HARVEST MOON TRCE SWLilburn, GA 30047-2468

Mailing Address3502 Harvest Moon Trce SwLilburn, GA 30047-2468 · (229) 977-0834

Phone(229) 977-0834

Sole ProprietorNo

Enumeration DateNovember 20, 2020

Last NPPES UpdateDecember 3, 20255 updates tracked since enumeration

NPPES CertifiedDecember 3, 2025

✔ NPI 1508469537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in GA · PSY004638✔ Licensed in RI · PS02382

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.

Also ListedPsychologistTaxonomy 103T00000X · License PSY004638 (GA)

3502 HARVEST MOON TRCE SW, Lilburn, GA 30047

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Secondary Practice Location 1

Location 11150 Reservoir Ave Ste 203Cranston, RI 02920-6032 · Phone (401) 259-0340 · Fax (401) 213-8538

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Cigna Healthcare, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jaylyn Clark Shifrin Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jaylyn Shifrin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rhode Island Counseling Associates LLC

878 mi

Mental Health

1150 RESERVOIR AVE STE 203
Cranston, RI 02920

Reassigned Medicare billing, Rhode Island enrollment
65 clinicians in this Medicare group

NPI 1336638303 (401) 259-0340

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30047 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

$172.43 typical visit price

range $56.84 – $172.43

Typical copayment $43.10 (range $14.21 – $43.10)

Most-billed visit code 99205

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

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 Jaylyn Shifrin's NPI number?

The NPI number for Jaylyn Shifrin is 1508469537. It was assigned to this individual provider in the NPPES registry on November 20, 2020.

Where is Jaylyn Shifrin located?

Jaylyn Shifrin practices at 3502 Harvest Moon Trce SW, Lilburn, GA 30047. The listed phone number is (229) 977-0834.

What is Jaylyn Shifrin's specialty?

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

Is Jaylyn Shifrin enrolled in Medicare?

Yes. Jaylyn Shifrin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jaylyn Shifrin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaylyn Shifrin reassigns Medicare benefits to Rhode Island Counseling Associates LLC (Cranston, RI). 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 Jaylyn Shifrin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jaylyn Shifrin accept?

Health plans from AmeriHealth Caritas Next, Cigna Healthcare and Harvard Pilgrim Health Care list Jaylyn Shifrin 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 Jaylyn Shifrin was last updated on December 3, 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.