Jia Jian Tin, PHD
NPI 1417536814ActiveIndividual· Psychologist· La Crosse, WI
Psychologist (PHD) with Gundersen Lutheran Medical Center Inc, practicing in La Crosse, Wisconsin. Medicare paid $2,029 for services to 11 patients in 2024. Lists Gundersen Lutheran Medical Center as a hospital affiliation.
Overview
| NPI | 1417536814 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Apr 5, 2021 |
| Last updated in NPPES | Oct 25, 2022 |
| Certified by provider | Oct 25, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 4071-57 | 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 Practitioner - Clinical Psychologist (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 11 |
|---|---|
| Services billed | 60 across 5 procedure codes |
| Paid by Medicare | $2,029 |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Gundersen Lutheran Medical Center IncLa Crosse, WI · 895 clinicians
Hospital affiliation
- Gundersen Lutheran Medical CenterLa Crosse, WI
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All 31 psychologists in La Crosse · All psychologists in Wisconsin