Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jill Marie Brenneman, PHD

Individual provider Clinical Child & Adolescent Psychologist · NPI 1619645157

Dr. Jill Marie Brenneman, PHD is a Clinical Psychologist in Worthington, Ohio. Graduated from Ohio State University College of Medicine in 2021, 5 years ago. Practices with I Am Boundless Inc, a 19-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
5
Trained at
Ohio State University College of Medicine
Licensed in
OH
In the registry since
2021
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

445 E Dublin Granville Rd
Worthington, OH 43085-3192
Phone: (614) 436-7837
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence P.08713 (OH)

Record details

NPI number1619645157
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedAugust 31, 2021
Last updated in NPPESDecember 13, 2024
Certification dateDecember 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice I Am Boundless Inc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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