STACEY LYNNE BROTHERS PHD
NPI 1891643680
Psychologist in Columbus, OH

Active since March 18, 2026PECOS EnrolledAccepts Medicare Assignment
3650 OLENTANGY RIVER RD, COLUMBUS, OH 43214(614) 293-9600(614) 366-1215 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 12, 2026, Mar 18, 2026 (2 updates tracked since 2026).

About Stacey Lynne Brothers Phd NPPES

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

STACEY LYNNE BROTHERS PHD (NPI 1891643680) is an individual psychologist in Columbus, Ohio, licensed in Ohio (P.08944) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1891643680
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameSTACEY LYNNE BROTHERSCredential: PHD
Location Address3650 OLENTANGY RIVER RDColumbus, OH 43214-3464
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-9600 · Fax (614) 366-1215
Fax(614) 366-1215
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 18, 2026
Last NPPES UpdateMay 12, 20262 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
✔ NPI 1891643680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in OH · P.08944
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
3650 OLENTANGY RIVER RD, Columbus, OH 43214

Other Names 1

Professional Name (2)Stacey Lipio Phd

Accepted Insurance

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

Stacey Lynne Brothers 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 ID840760617
PECOS Enrollment IDI20260522000183
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 Stacey Brothers reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical Child & Adolescent
1670 UPHAM DR, SUITE 140
Columbus, OH 43210
  • Reassigned Medicare billing, Ohio enrollment
  • 177 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 12

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

Specialist
3650 OLENTANGY RIVER RD, SUITE 300
COLUMBUS, OH 43214
Internal Medicine
3650 OLENTANGY RIVER RD, STE 302
COLUMBUS, OH 43214
Internal Medicine (Cardiovascular Disease)
3650 OLENTANGY RIVER RD, SUITE 300
COLUMBUS, OH 43214
Psychiatry & Neurology (Psychiatry)
3650 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Psychologist
3650 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Internal Medicine (Cardiovascular Disease)
3650 OLENTANGY RIVER RD, SUITE 300
COLUMBUS, OH 43214
Psychologist
3650 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Obstetrics & Gynecology
3650 OLENTANGY RIVER RD, SUITE 302
COLUMBUS, OH 43214

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 Stacey Brothers's NPI number?

The NPI number for Stacey Brothers is 1891643680. It was assigned to this individual provider in the NPPES registry on March 18, 2026. The provider is also known as Stacey Lipio Phd.

Where is Stacey Brothers located?

Stacey Brothers practices at 3650 Olentangy River Rd, Columbus, OH 43214. The listed phone number is (614) 293-9600.

What is Stacey Brothers's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Stacey Brothers enrolled in Medicare?

Yes. Stacey Brothers 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 Stacey Brothers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Brothers reassigns Medicare benefits to Osu Psychiatry, LLC (Columbus, OH). 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 Stacey Brothers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacey Brothers accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Molina Healthcare list Stacey Brothers 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 Stacey Brothers was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.