JOHN M TOBIN (PHD) – Psychologist, NPI 1265532089

JOHN M TOBIN (PHD) is a healthcare provider. based in Marshall, Michigan. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 6301006502 (MI). The NPI Number for JOHN M TOBIN (PHD) is 1265532089

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
JOHN M TOBIN (PHD)
NPI
1265532089
Phone
(269) 781-9119
Address
15209 W MICHIGAN AVE
Enumeration Date
22 September 2006
Last Update Date
8 December 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2697814271
Graduation Year
1985 (41 years ago)
PAC ID
3971797747
Group Practice PAC ID
1254228745
Professional Enrollment ID
I20101105000411
Address ID
MI490681143MA200XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,216 CLINICAL PSYCHOLOGIST in MI

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Provider Addresses for JOHN M TOBIN (PHD)

  • 15209, West Michigan Avenue, Marshall Township, Calhoun County, Michigan, 49068, United States

    MARSHALL, MI 490689570

    Phone: (269) 781-9119

    Fax: (269) 789-4347

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-11-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101105000411IClinical PsychologistMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes81689$0
90832Psychotherapy, 30 minutes11031$0
90791Psychiatric diagnostic evaluation3838$0
View full utilization report →

Insurance plans in this area (ZIP 49068)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254228745View full group profile
NameSpecialtyState
Nurse PractitionerMI
Family PracticeMI
G A S T R O E N T E R O L O G YMI
-MI
General SurgeryMI
Nurse PractitionerMI
Nurse PractitionerMI
Physician AssistantMI
-MI
-MI

Reviews

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Frequently asked questions

What federal number belongs to JOHN M TOBIN (PHD)?
The federal identifier for JOHN M TOBIN (PHD) is NPI 1265532089.
Is JOHN M TOBIN (PHD) currently active in the NPI registry?
CMS-published data lists JOHN M TOBIN (PHD) as an active registrant.
Does JOHN M TOBIN (PHD) list a primary specialty?
If you are matching referrals, note Psychologist for JOHN M TOBIN (PHD). Clinical services aligned with this taxonomy classification.
Does JOHN M TOBIN (PHD) practice in Michigan?
You will see Marshall, Michigan on file for JOHN M TOBIN (PHD) alongside any extra practice locations.
Is JOHN M TOBIN (PHD) a real provider?
This page reflects official NPPES data for NPI 1265532089. Always confirm identity and privileges with the practice and licensing boards.

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