Jacob Brendan Bayley Austin, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3108-57 Issued in WI

Practice address

2926 Bluff St
Madison, WI 53705-3421

Phone

(608) 318-3639

NPI assigned

Sep 18, 2009

Last updated

Jul 8, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Madison Behavioral Health Consultants

  • Community/Behavioral Health Agency
  • Madison, WI
  • NPI 1912695073
  Medicare reassignment NPD Authorized official
• C.a. Counseling & Consultants, LLC.

  • Clinical Social Worker
  • Williams Bay, WI
  • NPI 1548652241
  Medicare reassignment NPD
• Group Health Cooperative of South Central Wisconsin

  • Health Maintenance Organization
  • Madison, WI
  • NPI 1245260165
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1275866576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5155",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537050155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2926 BLUFF ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053421",
            "telephone_number": "608-318-3639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1920 Monroe St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537112470",
            "country_code": "US",
            "telephone_number": "608-318-3639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "JACOB",
        "middle_name": "BRENDAN BAYLEY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-18",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "3108-57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Aurit
• Aurora Pharmacy Inc (Aurora Pharmacy)
• Deanna Elliott Aussprung, PT, LAT, CSCS
• Alexis M Austin, PAC
• B Peter Austin, DDS
• Kerstin Eide Austin, M.D.
• Walter John Austin, C. PED
• Authentic Healing LLC
• Autism Society of South Central Wisconsin
• Autism Spectrum Therapies of Delaware, LLC (Wisconsin Early Autism Project)

• Clinical Psychologist in Madison, WI
• Providers in Madison, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.