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

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: July 26, 2026.

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

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, maintains a secondary practice location in Cranston, and is a graduate of Other (2019).

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
Medical School CMSOtherGraduated 2019
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, Harvard Pilgrim Health Care.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)

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

PECOS PAC ID3971915638
PECOS Enrollment IDI20250829000320
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.

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.

What insurance does Jaylyn Shifrin accept?

Health plans from AmeriHealth Caritas Next 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 with the weekly NPPES data releases published by CMS.