DR. JODY EDWIN DEBRUIN PH.D.
NPI 1760633523
Psychologist - Clinical in Atascadero, CA

Q: What is Jody Debruin's NPI number?

The NPI number for Jody Debruin is 1760633523. It was assigned to this individual provider in the NPPES registry on October 9, 2008. The provider is also known as Dr. Joe Edwin Debruin Ph.D..

Q: What is Jody Debruin'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 Jody Debruin was last updated on July 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 October 09, 2008PECOS EnrolledAccepts Medicare Assignment

10333 EL CAMINO REAL, ATASCADERO, CA 93422(805) 468-2000(805) 468-6011 Get Directions Write a Review

NPPES record last updated: July 15, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Jody Edwin Debruin Ph.d. NPPES

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

DR. JODY EDWIN DEBRUIN PH.D. (NPI 1760633523) is an individual clinical provider in Atascadero, California, licensed in California (21895) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1760633523

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JODY EDWIN DEBRUINCredential: PH.D.

Location Address10333 EL CAMINO REALAtascadero, CA 93422-5808

Mailing Address1600 9th St, Room 150 Fiscal Allocations And Estimates UnitSacramento, CA 95814-6414 · (916) 651-9475 · Fax (916) 651-8908

Phone(805) 468-2000

Fax(805) 468-6011

Sole ProprietorYes

Medical School CMSOtherGraduated 2006

Enumeration DateOctober 9, 2008

Last NPPES UpdateJuly 15, 2013

✔ NPI 1760633523 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 · 21895

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.

10333 EL CAMINO REAL, Atascadero, CA 93422

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Other Names 1

Professional Name (2)Dr. Joe Edwin Debruin Ph.d.

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. Jody Edwin Debruin Ph.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 ID7416095005

PECOS Enrollment IDI20091119000421

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 93422 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

$178.89 typical visit price

range $59.84 – $178.89

Typical copayment $44.72 (range $14.96 – $44.72)

Most-billed visit code 99205

Established Patient

$104.82 typical visit price

range $19.70 – $146.55

Typical copayment $26.20 (range $4.92 – $36.63)

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.

GIZELLA MARIA RAYMOND N.P., R.N.

Nurse Practitioner (Psychiatric/Mental Health)