1. Home
  2. Directory
  3. California
  4. Jackson
  5. Psychologist
  6. NPI Profile

DR. BRIAN EDWARD RAINES PSYD
NPI 1598438285
Psychologist - Clinical in Jackson, CA

Active since July 28, 2021PECOS Enrolled
12060 INDUSTRY BLVD # 1060, JACKSON, CA 95642(209) 560-9443 Get Directions Write a Review

NPPES record last updated: November 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Brian Edward Raines Psyd NPPES

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

DR. BRIAN EDWARD RAINES PSYD (NPI 1598438285) is an individual clinical provider in Jackson, California, licensed in California (PSY35461) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1598438285
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. BRIAN EDWARD RAINESCredential: PSYD
Location Address12060 INDUSTRY BLVD # 1060Jackson, CA 95642-9310
Mailing Address12060 Industry Blvd # 1060Jackson, CA 95642-9310 · (209) 560-9443
Phone(209) 560-9443
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 28, 2021
Last NPPES UpdateNovember 30, 2024
NPPES CertifiedNovember 30, 2024
✔ NPI 1598438285 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 CA · PSY35461
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.
12060 INDUSTRY BLVD # 1060, Jackson, CA 95642
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brian Edward Raines Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911496740
PECOS Enrollment IDI20251030003874
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 Brian Raines reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

M A C T Health Board Incorporated
15 mi
Federally Qualified Health Center (FQHC)
1113 HIGHWAY 49
San Andreas, CA 95249
  • Reassigned Medicare billing, Texas enrollment
  • 41 clinicians in this Medicare group
NPI 1366519431 (209) 755-1400

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 95642 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
$176.60 typical visit price
range $58.87 – $176.60
Typical copayment $44.15 (range $14.71 – $44.15)
Most-billed visit code 99205
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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 Brian Raines's NPI number?

The NPI number for Brian Raines is 1598438285. It was assigned to this individual provider in the NPPES registry on July 28, 2021.

Where is Brian Raines located?

Brian Raines practices at 12060 Industry Blvd # 1060, Jackson, CA 95642. The listed phone number is (209) 560-9443.

What is Brian Raines's specialty?

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

Is Brian Raines enrolled in Medicare?

Yes. Brian Raines is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brian Raines's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Raines reassigns Medicare benefits to M A C T Health Board Incorporated (San Andreas, CA). 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 Brian Raines's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brian Raines was last updated on November 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.