DR. JENNIFER LEE BRISBANE PSY.D.
NPI 1548535057
Psychologist - Clinical in Bethlehem, PA

Active since March 16, 2012PECOS EnrolledAccepts Medicare Assignment
264 E BROAD ST, BETHLEHEM, PA 18018(610) 866-9311(610) 882-2072 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Jun 5, 2017 (2 updates tracked since 2017).

About Dr. Jennifer Lee Brisbane Psy.d. NPPES

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

DR. JENNIFER LEE BRISBANE PSY.D. (NPI 1548535057) is an individual clinical provider in Bethlehem, Pennsylvania, licensed in Pennsylvania (PS016462) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1548535057
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JENNIFER LEE BRISBANECredential: PSY.D.
Location Address264 E BROAD STBethlehem, PA 18018-6278
Mailing Address264 E Broad StBethlehem, PA 18018-6278 · (610) 866-9311 · Fax (610) 882-2072
Fax(610) 882-2072
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMarch 16, 2012
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1548535057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in PA · PS016462
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.
264 E BROAD ST, Bethlehem, PA 18018

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

Dr. Jennifer Lee Brisbane 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 ID9537320460
PECOS Enrollment IDI20120419000485
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 18018 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
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Other Providers at the Same Location NPPES 10

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

Psychologist
264 E BROAD ST
BETHLEHEM, PA 18018
Psychologist (Clinical)
264 E BROAD ST
BETHLEHEM, PA 18018
Counselor
264 E BROAD ST
BETHLEHEM, PA 18018
Social Worker (Clinical)
264 E BROAD ST
BETHLEHEM, PA 18018
Psychologist
264 E BROAD ST
BETHLEHEM, PA 18018
Psychologist
264 E BROAD ST
BETHLEHEM, PA 18018
Psychologist (Clinical)
264 E BROAD ST
BETHLEHEM, PA 18018
Psychologist (Clinical)
264 E BROAD ST
BETHLEHEM, PA 18018

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 Jennifer Brisbane's NPI number?

The NPI number for Jennifer Brisbane is 1548535057. It was assigned to this individual provider in the NPPES registry on March 16, 2012.

Where is Jennifer Brisbane located?

Jennifer Brisbane practices at 264 E Broad St, Bethlehem, PA 18018. The listed phone number is (610) 866-9311.

What is Jennifer Brisbane's specialty?

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

Is Jennifer Brisbane enrolled in Medicare?

Yes. Jennifer Brisbane 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 Jennifer Brisbane was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.