DR. JILL MARIE BRENNEMAN PHD NPI 1619645157

NPI Information

  • NPI: 1619645157
  • Provider Name: DR. JILL MARIE BRENNEMAN, PHD
  • Classification: Psychologist - 103TC2200X
  • Specialization: Clinical Child & Adolescent
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 445 E DUBLIN GRANVILLE RD
    WORTHINGTON, OH
    ZIP 43085
  • Phone: (614) 436-7837

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NPI Details

DR. Jill Marie Brenneman, PHD is a clinical child and adolescent psychologist in Worthington, OH with 5 years of experience. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. DR. Jill Marie Brenneman, PHD NPI is 1619645157. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2021

The provider's business location address is:

445 E DUBLIN GRANVILLE RD
WORTHINGTON, OH
ZIP 43085-192
Phone: (614) 436-7837

The NPI 1619645157 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/31/2021 and was last updated on 12/13/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC2200XPsychologistClinical Child & AdolescentP.08713OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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