Jodi Allison Brin, PSY.D.
NPI 1629426200ActiveIndividual· Psychologist, Clinical· Mequon, WI
Psychologist, Clinical (PSY.D.) in Mequon, Wisconsin, licensed in WI, with an NPI issued in May 2016. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1629426200 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. |
| Sole proprietor | Yes |
| NPI issued | May 24, 2016 |
| Last updated in NPPES | May 24, 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 Practitioner - Clinical Psychologist (WI) |
|---|
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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All 27 clinical psychologists in Mequon · All clinical psychologists in Wisconsin