Jodi Brin Psychological Services LLC
NPI 1134577133ActiveOrganization· Psychologist, Clinical· Mequon, WI
Psychologist, Clinical in Mequon, Wisconsin, registered in NPPES in May 2016. The authorized official on file is Jodi Allison Brin, PSY.D., Clinical Psychologist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1134577133 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 31, 2016 |
| Last updated in NPPES | Jul 28, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 3346-57 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WI) |
|---|
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