JODI BRIN PSYCHOLOGICAL SERVICES LLC (NPI# 1134577133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134577133 |
| Entity Type | Organization |
| Organization Name | JODI BRIN PSYCHOLOGICAL SERVICES LLC |
| Practice Address |
14135 N Cedarburg Rd Mequon WI 53097-1416 |
| Mailing Address |
12616 N Saint Anne Ln Mequon WI 53092-2263 |
| Practice Telephone | 2623772006 |
| Mailing Telephone | 2622366693 |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-07-28 |
| Authorized Official Name | DR. JODI ALLISON BRIN (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 2622366693 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3346-57 | WI | Behavioral Health & Social Service Providers |
| Street Address |
14135 N CEDARBURG RD |
| City | MEQUON |
| State | WI |
| Zip Code | 53097-1416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942219589 | Heather A Byrne | Psychologist | 14135 N Cedarburg Rd, # 203, Mequon, WI 53097-1416 | 2006-08-05 |
| 1013516905 | Jmd, Psychology, LLC | Psychologist | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 | 2020-10-21 |
| 1114539061 | Casey Mccarragher LLC | Community/Behavioral Health | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 | 2020-08-21 |
| 1447884721 | Jessica Wolfe | Social Worker | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 | 2020-02-26 |
| 1386278661 | Jessica Wolfe, Lcsw, LLC | Social Worker | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 | 2020-02-26 |
| 1205490844 | Angela C. Stanley, Psy.d. Psychological Services LLC | Psychologist | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 | 2019-04-29 |
| 1861958993 | Andrea P Janis-towey Psychological Services LLC | Clinic/Center | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 | 2019-02-13 |
| 1467923474 | Brian M. Fidlin Psychological Services | Clinic/Center | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 | 2018-12-17 |
| 1528539657 | Melissa L Del Rosario LLC | Clinic/Center | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 | 2018-12-16 |
| 1649784638 | Brewer Counseling and Wellness | Psychologist | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 | 2017-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851512982 | Wendy S Balister | Dietitian, Registered | 13111 North Port Washington Rd, Mequon, WV 53097 | 2007-05-02 |
| 1902985922 | Lisa Lang | Counselor | 14135 North Cedarburg Road, Mequon, WI 53097 | 2006-11-02 |
| 1003915570 | Joan T Gnadt | Internal Medicine | 13133 N Port Washington Rd., Suite 111, Mequon, WI 53097 | 2006-09-21 |
| 1255439097 | Susan J Riegg | Pathology | 13111 N Port Washington Road, Mequon, WI 53097 | 2006-09-20 |
| 1891808887 | Gregory Eric Custer | Dentist | 13615 N Cedarburg Road, Mequon, WI 53097 | 2006-08-16 |
| 1114958600 | Richard K Karr | Orthopaedic Surgery | 13133n Port Washington Road, #216, Mequon, WI 53097 | 2006-07-05 |
| 1548204712 | Lauretta Lyon Schears | Occupational Therapist | 13111 N. Portwashington Rd, Mequon, WI 53097 | 2006-06-16 |
| 1235173337 | Sarah Marie Neman | Physical Therapy Assistant | 13111 N Prot Washington Rd., Mequon, WI 53097 | 2006-06-16 |
| 1538103643 | Elizabeth Gral Sullivan | Speech-Language Pathologist | 13111 North Port Washington Road, Mequon, WI 53097 | 2006-06-16 |
| 1952808701 | Lisa Lang LLC | Counselor | 14135 North Cedarburg Road, Mequon, WI 53097 | 2018-04-09 |
| Find all providers in zip 53097 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922248186 | Melissa J Westendorf | Psychologist | 14135 N Cedarburg Rd Ste 1, Mequon, WI 53097-1416 | 2009-03-02 |
| 1972670594 | Stacey Lynn Nye | Psychologist | 10303 N Port Washington #203, Mequon, WI 53092 | 2006-11-29 |
| 1356412951 | Gwynne Odette Kohl | Psychologist | 10303 N Port Washington Road, Suite 203, Mequon, WI 53092 | 2006-11-13 |
| 1891718078 | Nancy A Cannon | Psychologist | 11520 N Port Washington Road, Suite 108, Mequon, WI 53092-3352 | 2006-07-26 |
| 1154365971 | Achievement Associates, Ltd | Psychologist | 1317 W Towne Square Rd, Mequon, WI 53092-5017 | 2006-06-15 |
| 1316994676 | Michael Tetkoski | Psychologist | 1312 W Towne Square Rd, Mequon, WI 53092-5046 | 2006-05-30 |
| 1982687018 | Daniel Goeckner | Psychologist | 11649 N Port Washington Rd Ste 206, Mequon, WI 53092 | 2005-11-22 |
| 1205490844 | Angela C. Stanley, Psy.d. Psychological Services LLC | Psychologist | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 | 2019-04-29 |
| 1992154231 | Kelly Duggan Consultation Services, LLC | Psychologist | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 | 2016-06-07 |
| 1629426200 | Jodi Allison Brin | Psychologist | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 | 2016-05-24 |
| Find all providers in MEQUON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.