DR. JODI ALLISON BRIN PSY.D.
NPI 1629426200
Psychologist - Clinical in Mequon, WI
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
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Jodi Brin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mequon, WI 53097
- Reassigned Medicare billing, Wisconsin enrollment
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 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.
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.
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 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..
Where is Jodi Brin located?
Jodi Brin practices at 14135 N Cedarburg Rd, Mequon, WI 53097. The listed phone number is (262) 377-2006.
What is Jodi Brin's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Jodi Brin enrolled in Medicare?
Yes. Jodi Brin 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.
Which organization bills Medicare for Jodi Brin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jodi Brin reassigns Medicare benefits to Jodi Brin Psychological Services LLC (Mequon, WI). 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 Jodi Brin'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 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.
# Dr. Jodi Allison Brin, PSY.D. · NPI 1629426200
Clinical provider in Mequon, Wisconsin. Individual provider, active in the CMS NPPES registry since May 24, 2016.
## Identity
- **NPI:** 1629426200 (Entity type: Individual)
- **Enumerated:** May 24, 2016
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 3346-57 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 14135 N CEDARBURG RD, Mequon, WI 53097-1416
- **Phone:** (262) 377-2006
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Jodi Brin Psychological Services LLC (NPI 1134577133, Mequon, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** May 24, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1629426200) · Data from the CMS NPPES public registry.