DR. JODI ALLISON BRIN PSY.D.
NPI 1629426200
Psychologist - Clinical in Mequon, WI

Q: What is Jodi Brin's NPI number?

The NPI number for Jodi Brin is 1629426200. It was assigned to this individual provider in the NPPES registry on May 24, 2016. The provider is also known as Jodi Allison Green Psy.D..

Q: What is Jodi Brin'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 Jodi Brin was last updated on May 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since May 24, 2016PECOS EnrolledAccepts Medicare Assignment

14135 N CEDARBURG RD, MEQUON, WI 53097(262) 377-2006 Get Directions Write a Review

NPPES record last updated: May 24, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Jodi Allison Brin Psy.d. NPPES

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

DR. JODI ALLISON BRIN PSY.D. (NPI 1629426200) is an individual clinical provider in Mequon, Wisconsin, licensed in Wisconsin (3346-57) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1629426200

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JODI ALLISON BRINCredential: PSY.D.

Location Address14135 N CEDARBURG RDMequon, WI 53097-1416

Mailing Address14135 N Cedarburg RdMequon, WI 53097-1416 · (262) 377-2006

Phone(262) 377-2006

Sole ProprietorYes

Medical School CMSOtherGraduated 2003

Enumeration DateMay 24, 2016

✔ NPI 1629426200 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 WI · 3346-57

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.

14135 N CEDARBURG RD, Mequon, WI 53097

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Other Names 1

Former Name (1)Jodi Allison Green Psy.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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. Jodi Allison Brin 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 ID1456644863

PECOS Enrollment IDI20160722001218

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 53097 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

$163.24 typical visit price

range $53.90 – $163.24

Typical copayment $40.81 (range $13.47 – $40.81)

Most-billed visit code 99205

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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 20

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

JMD, PSYCHOLOGY, LLC

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