DR. JAMIE KRISTIN BIRRIS (PSY.D.) – Clinical Psychologist, NPI 1396926820

DR. JAMIE KRISTIN BIRRIS (PSY.D.) is a healthcare provider. based in Saint joseph, Michigan. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 6301015104 (MI). The NPI Number for DR. JAMIE KRISTIN BIRRIS (PSY.D.) is 1396926820

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAMIE KRISTIN BIRRIS (PSY.D.)
NPI
1396926820
Phone
(269) 471-7741
Address
3900 HOLLYWOOD RD
Enumeration Date
27 November 2007
Last Update Date
10 November 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2694284411
Graduation Year
2006 (20 years ago)
PAC ID
5496837742
Group Practice PAC ID
1658427042
Professional Enrollment ID
I20120918000547
Address ID
MI490859149SA3900XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,216 CLINICAL PSYCHOLOGIST in MI

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Provider Addresses for DR. JAMIE KRISTIN BIRRIS (PSY.D.)

  • Lakeland Health Park, 3900, Hollywood Road, Royalton Township, Berrien County, Michigan, 49085, United States

    SAINT JOSEPH, MI 490859149

    Phone: (269) 471-7741

    Fax: (269) 471-1581

    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: 2012-09-18

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
I20120918000547IClinical 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 minutes6314$0
90791Psychiatric diagnostic evaluation1111$0
View full utilization report →

Insurance plans in this area (ZIP 49085)

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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: 1658427042View full group profile
NameSpecialtyState
-MI
Nurse PractitionerMI
Nurse PractitionerMI
-MI
-MI
Physician AssistantMI
-MI
Physician AssistantMI
Internal MedicineMI
O B S T E T R I C S/ G Y N E C O L O G YMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. JAMIE KRISTIN BIRRIS (PSY.D.)?
DR. JAMIE KRISTIN BIRRIS (PSY.D.) — NPI 1396926820 — is the standard way to identify this listing.
Is DR. JAMIE KRISTIN BIRRIS (PSY.D.) listed as active for patients and plans?
The listing shows DR. JAMIE KRISTIN BIRRIS (PSY.D.) as active in the NPI system.
What taxonomy line describes DR. JAMIE KRISTIN BIRRIS (PSY.D.)?
For research purposes, treat DR. JAMIE KRISTIN BIRRIS (PSY.D.) as Clinical Psychologist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. JAMIE KRISTIN BIRRIS (PSY.D.)?
DR. JAMIE KRISTIN BIRRIS (PSY.D.)'s geographic hint is Saint Joseph, Michigan in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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