IndividualActiveMedicare EnrolledCan Order/Refer

Dr. Jill Mallin

PHD, LP

Psychologist

NPI: 1184248593Fort Atkinson, Wisconsin, 53538(920) 397-4015Female

About Dr. Jill Mallin

Dr. Jill Mallin, PHD, LP, is a female healthcare professional specializing in Psychologist, registered under National Provider Identifier (NPI) number 1184248593. Dr. Jill Mallin received her medical education at OTHER, graduating in 2007.

Their primary practice is located at 201 N MAIN ST STE 411, Fort Atkinson, Wisconsin 53538. Patients can reach the office at (920) 397-4015. Dr. Jill Mallin is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services.

Dr. Jill Mallin has been NPI-registered since 2020.

Key Metrics

Practice Locations

Doctor Details

Identity & Credentials

NPI Number: 1184248593
Entity Type: Individual
First Name: Jill
Last Name: Mallin
Credential: PHD, LP
Gender: Female
Medical School: OTHER
Graduation Year: 2007
Sole Proprietor: Yes
Status: active

Primary Practice Location

Address: 201 N MAIN ST STE 411
City: Fort Atkinson
State: Wisconsin
ZIP: 53538-1805
Country: United States
Phone: (920) 397-4015
Fax: (608) 237-2146

Specialty & Taxonomy

Primary Specialty: Psychologist
Classification: Psychologist
Taxonomy Code: 103T00000X

NPI Registration

Enumeration Date: Jun 1, 2020
Last Updated: Jan 12, 2023
Certification Date: Jan 12, 2023

Mailing Address

Address: 201 N MAIN ST STE 411
City: FORT ATKINSON
State: WI
ZIP: 535381805

Medicare Enrollment

Medicare Enrolled: Yes
Can Order/Refer: Yes
Telehealth: No
Excluded: No

Frequently Asked Questions

What is Dr. Jill Mallin's NPI number?

Dr. Jill Mallin's National Provider Identifier (NPI) is 1184248593. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.

What does Dr. Jill Mallin specialize in?

Dr. Jill Mallin specializes in Psychologist. They received their medical education at OTHER (class of 2007).

Where is Dr. Jill Mallin located?

Dr. Jill Mallin practices at 201 N MAIN ST STE 411, Fort Atkinson, Wisconsin 53538. You can reach them by phone at (920) 397-4015.

Does Dr. Jill Mallin accept Medicare?

Yes, Dr. Jill Mallin is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.

Does Dr. Jill Mallin offer telehealth or virtual visits?

Dr. Jill Mallin does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Dr. Jill Mallin is 1184248593.