Jill Efta Breitbach, PSY D

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

203499 Issued in ID

Practice address

509 W Hanley Ave Ste 101
Coeur D Alene, ID 83815-8994

Phone

(208) 666-0357

Fax

(208) 666-0468

NPI assigned

Feb 3, 2006

Sex

Female

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 ID

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, 2003

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 and National Provider Directory roles.

• The Gordian Mind

  dba Jill Breitbach, Psychologist

  • Clinic/Center
  • Coeur d'Alene, ID
  • NPI 1356054423
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1487626529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 W HANLEY AVE STE 101",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158994",
            "telephone_number": "208-666-0357",
            "fax_number": "208-666-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 W HANLEY AVE STE 101",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158994",
            "telephone_number": "208-666-0357",
            "fax_number": "208-666-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREITBACH",
        "first_name": "JILL",
        "middle_name": "EFTA",
        "credential": "PSY D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ID",
            "license": "203499",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "ID",
            "license": "203499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillienne Braucher Sells, DPT
• Bailey Braun, PA-C
• Breath of Life Sleep Medicine PC
• Kellie Kathryn Breaux, FNP-MSN
• Lisa G Breisacher, L.N.P.
• Brent R. Unruh, DMD, PA
• Brevity Treatment Services
• Bri Health PLLC
• Brian L Norce (Appleway Chiropractic)
• Brian L Samuels MD PLLC

• Clinical Neuropsychologist in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Clinical Neuropsychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; 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.