DR. JILL MARIE BRENNEMAN PHD
NPI 1619645157
Psychologist - Clinical Child & Adolescent in Worthington, OH

Active since August 31, 2021PECOS EnrolledAccepts Medicare Assignment
445 E DUBLIN GRANVILLE RD, WORTHINGTON, OH 43085(614) 436-7837 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2024, Jul 8, 2024 (2 updates tracked since 2024).

About Dr. Jill Marie Brenneman Phd NPPES

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

DR. JILL MARIE BRENNEMAN PHD (NPI 1619645157) is an individual clinical child & adolescent provider in Worthington, Ohio, licensed in Ohio (P.08713) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (2021).

NPPES Registry Identity

NPI1619645157
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameDR. JILL MARIE BRENNEMANCredential: PHD
Location Address445 E DUBLIN GRANVILLE RDWorthington, OH 43085-3192
Mailing Address445 E Dublin Granville RdWorthington, OH 43085-3192 · (614) 436-7837
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2021
Enumeration DateAugust 31, 2021
Last NPPES UpdateDecember 13, 20242 updates tracked since enumeration
NPPES CertifiedDecember 13, 2024
NPI 1619645157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License Licensed in OH · P.08713
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
445 E DUBLIN GRANVILLE RD, Worthington, OH 43085

Accepted Insurance

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. Jill Marie Brenneman Phd 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 ID446780167
PECOS Enrollment IDI20250211002476
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.

Other Providers at the Same Location NPPES 20

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

Behavior Analyst
445 E DUBLIN GRANVILLE RD
WORTHINGTON, OH 43085
Case Manager/Care Coordinator
445 E DUBLIN GRANVILLE RD
WORTHINGTON, OH 43085
Case Manager/Care Coordinator
445 E DUBLIN GRANVILLE RD
WORTHINGTON, OH 43085
Case Manager/Care Coordinator
445 E DUBLIN GRANVILLE RD
WORTHINGTON, OH 43085
Case Manager/Care Coordinator
445 E DUBLIN GRANVILLE RD
WORTHINGTON, OH 43085
Behavior Technician
445 E DUBLIN GRANVILLE RD
WORTHINGTON, OH 43085
Behavior Technician
445 E DUBLIN GRANVILLE RD
WORTHINGTON, OH 43085
Case Manager/Care Coordinator
445 E DUBLIN GRANVILLE RD
WORTHINGTON, OH 43085

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 Brenneman's NPI number?

The NPI number for Jill Brenneman is 1619645157. It was assigned to this individual provider in the NPPES registry on August 31, 2021.

Where is Jill Brenneman located?

Jill Brenneman practices at 445 E Dublin Granville Rd, Worthington, OH 43085. The listed phone number is (614) 436-7837.

What is Jill Brenneman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Jill Brenneman enrolled in Medicare?

Yes. Jill Brenneman 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.

What insurance does Jill Brenneman accept?

Health plans from Anthem Blue Cross and Blue Shield, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio list Jill Brenneman 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 Jill Brenneman was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.