DR. JONATHAN WILLIAM MARIN PH.D.
NPI 1104600824
Psychologist - Clinical in Menasha, WI
NPI Status: Active since August 23, 2023
Contact Information
1095 MIDWAY RD
MENASHA, WI
ZIP 54952
Phone: (920) 720-2300
Fax: (920) 720-3719
- Individual
- Male
- Years of Experience 16
- Psychologist
- Clinical
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About JONATHAN MARIN
This page provides the complete NPI Profile along with additional information for Jonathan Marin, a provider established in Menasha, Wisconsin with a medical specialization in Psychologist, focusing in clinical and more than 16 years of experience. The healthcare provider is registered in the NPI registry with number 1104600824 assigned on August 2023. The practitioner's primary taxonomy code is 103TC0700X with license number 3062-57 (WI). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1104600824
- Provider Name
- DR. JONATHAN WILLIAM MARIN PH.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1095 MIDWAY RD MENASHA, WI 54952
- Location Phone
- (920) 720-2300
- Location Fax
- (920) 720-3719
- Mailing Address
- 1095 MIDWAY RD MENASHA, WI 54952
- Mailing Phone
- (920) 720-2300
- Mailing Fax
- (920) 720-3719
- Medical School Name
- OTHER
- Graduation Year
- 2010
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-23-2023
- Last Update Date
- 08-23-2023
- Code Navigator
A clinical psychologist like Jonathan Marin assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 3062-57
- License State
- WI
- Taxonomy Description
- A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- HMO Bronze $0 Medical Deductible - HMO
- HMO Bronze 7500 - HMO
- HMO Catstrophic 9200 with 3 Free PCP Visits - HMO
- HMO Gold 1500 - HMO
- HMO Gold 2400 - HMO
- HMO HDHP Bronze 7200 - HMO
- HMO HDHP Silver 5400 - HMO
- HMO Silver 5000 - HMO
- HMO Silver 6600 - HMO
- POS Bronze 7500 - POS
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
- CGHC Bronze Standard $7500 - Envision Network - EPO
- CGHC Bronze Standard $7500 - Envision Network (Vision Exam) - EPO
- CGHC Catastrophic $9200 - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
- CGHC Gold $3000 - Envision Network - EPO
- Robin Oak $1,000 Gold - PPO
- Robin Oak $1,500 Standard Gold - PPO
- Robin Select $2,800 Plus Silver - PPO
- Robin Select $3,500 HSA Silver - PPO
- Robin Select $5,000 Standard Silver - PPO
- Robin Select $6,500 Plus Bronze - PPO
- Robin Select $7,500 Standard Bronze - PPO
- Robin Select $8,200 HSA Bronze - PPO
- Robin Select $9,200 Catastrophic - PPO
- Engage by Medica Bronze HSA - EPO
- Engage by Medica Bronze Share - EPO
- Engage by Medica Expanded Bronze Standard - EPO
- Engage by Medica Gold $0 Copay PCP Visits - EPO
- Engage by Medica Gold Share - EPO
- Engage by Medica Gold Standard - EPO
- Engage by Medica Silver $0 Copay PCP Visits - EPO
- Engage by Medica Silver Share - EPO
- Engage by Medica Silver Standard - EPO
- Essentia Choice Care with Medica Bronze HSA - EPO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $7250 HSA - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $9200 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $500 DED - HMO
- Premier $1,500 - 25% - HMO
- Premier $3,500 - 30% - HMO
- Premier $4,100 HDHP - HMO
- Premier $5,000 - 40% - HMO
- Premier $6,200 HDHP - HMO
- Premier $7,500 - HMO
- Premier $9,200 - HMO
- Premier Protection - HMO
- Premier HMO $1,500 - 30% - HMO
- Premier HMO $2,500 - 20% Copay - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Jonathan Marin is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Jonathan Marin is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 8729434139
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20231020001964
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $40.81 for a new patient copayment and $23.85 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 54952 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $163.24
- Minimum New Patient Price $53.9
- Maximum New Patient Price $163.24
- Average New Patient Copayment $40.81
- Minimum New Patient Copayment $13.47
- Maximum New Patient Copayment $40.81
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $95.41
- Minimum Established Patient Price $17.4
- Maximum Established Patient Price $133.76
- Average Established Patient Copayment $23.85
- Minimum Established Patient Copayment $4.35
- Maximum Established Patient Copayment $33.44
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. JONATHAN WILLIAM MARIN PH.D.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 6 | 0 | 0 | 8 | 2 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 12 | 0 | 0 | 8 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 1 + 2 + 0 + 0 + 8 + 4 + 24 = 46 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 46 = 4 | 4 | ||||||||
The NPI number 1104600824 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1619968773 | JOANNA MORGAN CSAC Individual | Counselor | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1093744666 | KRISTEN E OWENS MA,LPC Individual | Counselor (Mental Health) | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1992802888 | JULIE A FEIDER MSE, LPC Individual | Counselor (Professional) | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1194818344 | KAREN ADAIR MS Individual | Counselor (Mental Health) | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1922182971 | TRICIA M HECHIMOVICH MSW Individual | Counselor | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1093882896 | ROCHELLE ALPERT Individual | Counselor | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1558438259 | MATTHEW A BAYER Individual | Psychiatry & Neurology (Psychiatry) | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-3700 |
| 1750458493 | ELENA EARL Individual | Social Worker | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1144397845 | JOHN BELD Individual | Psychiatry & Neurology (Psychiatry) | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1316014079 | THOMAS GROH Individual | Psychologist | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1841367513 | MARY LENHARD Individual | Counselor | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1881761567 | CHRIS MATULA Individual | Social Worker | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1548337132 | JANE PRATT LCSW Individual | Social Worker | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1730256348 | LINDA VANWYK Individual | Social Worker | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1578622635 | STEVEN BEAU Individual | Counselor (Addiction (Substance Use Disorder)) | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1891854964 | JAMES CRUTHERS Individual | Counselor (Addiction (Substance Use Disorder)) | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1023177193 | LYNNE DREWS Individual | Counselor (Addiction (Substance Use Disorder)) | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1902965072 | KAREN HESS Individual | Counselor (Addiction (Substance Use Disorder)) | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1003976473 | DARLENE LEARY Individual | Counselor (Addiction (Substance Use Disorder)) | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1619037090 | BARBARA LUTZEWITZ Individual | Counselor (Addiction (Substance Use Disorder)) | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104600824, enumerated in the NPI registry as an "individual" on August 23, 2023
The provider is located at 1095 Midway Rd Menasha, Wi 54952 and the phone number is (920) 720-2300
The provider's speciality is Psychologist with taxonomy code 103TC0700X with a focus in Clinical
The provider has more than 16 years of experience.
The provider might be accepting Accepts: Aspirus Health Plan, Common Ground Healthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
Medicare beneficiaries should expect a typical cost of $163.24 with an average copayment of $40.81 for new patient appointments. Established patients should expect a typical charge of $95.41 and an average copayment of 23.85. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on August 23, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.